Harton Medical Inc | |
240 S Jackson St Ste 109 Glendale CA 91205-1594 | |
(818) 839-1094 | |
Not Available |
Full Name | Harton Medical Inc |
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Speciality | Clinic/Center |
Location | 240 S Jackson St Ste 109, Glendale, California |
Authorized Official Name and Position | Mary H Harton (PRESIDENT/PHYSICIAN) |
Authorized Official Contact | 6236932235 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Harton Medical Inc 345 Pioneer Dr Unit 1703 Glendale CA 91203-2743 Ph: () - | Harton Medical Inc 240 S Jackson St Ste 109 Glendale CA 91205-1594 Ph: (818) 839-1094 |
NPI Number | 1104497924 |
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Provider Enumeration Date | 07/02/2021 |
Last Update Date | 07/02/2021 |
Medicare PECOS PAC ID | 7315345170 |
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Medicare Enrollment ID | O20211007003236 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104497924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Mary H Harton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710252648 PECOS PAC ID: 9739406703 Enrollment ID: I20150401000417 |
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