La Canada Medical Group | |
1113 Foothill Blvd #a La Canada Flintridge CA 91011 | |
(818) 369-7848 | |
(818) 671-3521 |
Full Name | La Canada Medical Group |
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Speciality | Internal Medicine |
Location | 1113 Foothill Blvd, La Canada Flintridge, California |
Authorized Official Name and Position | Aaron I-lun Jeng (OWNER/PROVIDER) |
Authorized Official Contact | 8183965737 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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La Canada Medical Group 1113 Foothill Blvd #a La Canada Flintridge CA 91011 Ph: (818) 369-7848 | La Canada Medical Group 1113 Foothill Blvd #a La Canada Flintridge CA 91011 Ph: (818) 369-7848 |
NPI Number | 1285114157 |
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Provider Enumeration Date | 08/20/2018 |
Last Update Date | 02/08/2023 |
Medicare PECOS PAC ID | 4587036074 |
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Medicare Enrollment ID | O20230209001798 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285114157 | NPI | - | NPPES |
A106414 | Other | CA | PHYSICIAN LICENSE |
1003053851 | Other | CA | NPI |
1164831293 | Other | CA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
Provider Name | Aaron I Jeng |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003053851 PECOS PAC ID: 1658567524 Enrollment ID: I20101118000647 |
Gregory C Yu Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2258 Foothill Blvd, Suite 200, La Canada Flintridge, CA 91011 Phone: 818-248-8998 Fax: 818-248-0844 |