| Goldome Healthcare Inc. | |
|
3191 W Temple Ave Ste 190 Pomona CA 91768-3228 | |
| (909) 895-3299 | |
| (909) 895-4801 |
| Full Name | Goldome Healthcare Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3191 W Temple Ave Ste 190, Pomona, California |
| Authorized Official Name and Position | David T Chen (PRESIDENT) |
| Authorized Official Contact | 9513341939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goldome Healthcare Inc. 3191 W Temple Ave Ste 190 Pomona CA 91768-3228 Ph: (909) 895-3299 | Goldome Healthcare Inc. 3191 W Temple Ave Ste 190 Pomona CA 91768-3228 Ph: (909) 895-3299 |
| NPI Number | 1295154672 |
|---|---|
| Provider Enumeration Date | 04/14/2014 |
| Last Update Date | 05/04/2024 |
| Medicare PECOS PAC ID | 5395961734 |
|---|---|
| Medicare Enrollment ID | O20140721002524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295154672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A82411 (California) | Primary |
| Provider Name | David T. Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891719852 PECOS PAC ID: 6901884949 Enrollment ID: I20040707001545 |
| Provider Name | Crystal Huong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992376636 PECOS PAC ID: 3274920020 Enrollment ID: I20220425002169 |
| Provider Name | Lisa Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629634852 PECOS PAC ID: 7719364728 Enrollment ID: I20220512002425 |
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