Irina V Kolomey D O | |
1808 San Miguel Dr Walnut Creek CA 94596-8606 | |
(925) 528-2663 | |
Not Available |
Full Name | Irina V Kolomey D O |
---|---|
Speciality | Internal Medicine |
Location | 1808 San Miguel Dr, Walnut Creek, California |
Authorized Official Name and Position | Irina Victor Kolomey (PRESIDENT) |
Authorized Official Contact | 9253633395 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Irina V Kolomey D O 1808 San Miguel Dr Walnut Creek CA 94596-8606 Ph: (925) 363-3395 | Irina V Kolomey D O 1808 San Miguel Dr Walnut Creek CA 94596-8606 Ph: (925) 528-2663 |
NPI Number | 1821779851 |
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Provider Enumeration Date | 07/31/2023 |
Last Update Date | 09/14/2023 |
Medicare PECOS PAC ID | 9436506250 |
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Medicare Enrollment ID | O20231115002077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821779851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Irina Kolomey |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104062173 PECOS PAC ID: 0042342743 Enrollment ID: I20100715000696 |
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