| Jason S Paek Md,inc | |
|
18773 Colima Rd Rowland Heights CA 91748-2949 | |
| (626) 986-4899 | |
| (626) 986-4855 |
| Full Name | Jason S Paek Md,inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18773 Colima Rd, Rowland Heights, California |
| Authorized Official Name and Position | Jason S Paek (MD/CEO) |
| Authorized Official Contact | 6269864899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason S Paek Md,inc 18773 Colima Rd Rowland Heights CA 91748-2949 Ph: (626) 986-4899 | Jason S Paek Md,inc 18773 Colima Rd Rowland Heights CA 91748-2949 Ph: (626) 986-4899 |
| NPI Number | 1205392602 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 02/11/2019 |
| Medicare PECOS PAC ID | 8527308717 |
|---|---|
| Medicare Enrollment ID | O20190326002117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205392602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jason S Paek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770679631 PECOS PAC ID: 2264557636 Enrollment ID: I20100909000505 |
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