| Jay Iinuma, Md, Inc | |
|
301 W Huntington Dr Ste 608 Arcadia CA 91007-1516 | |
| (626) 201-5480 | |
| Not Available |
| Full Name | Jay Iinuma, Md, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 W Huntington Dr Ste 608, Arcadia, California |
| Authorized Official Name and Position | Jay Iinuma (PHYSICIAN) |
| Authorized Official Contact | 6262015480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Iinuma, Md, Inc 301 W Huntington Dr Ste 608 Arcadia CA 91007-1516 Ph: (626) 201-5480 | Jay Iinuma, Md, Inc 301 W Huntington Dr Ste 608 Arcadia CA 91007-1516 Ph: (626) 201-5480 |
| NPI Number | 1851709240 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 07/29/2014 |
| Medicare PECOS PAC ID | 6406073477 |
|---|---|
| Medicare Enrollment ID | O20140814002472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851709240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jay K Iinuma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659442564 PECOS PAC ID: 1759412125 Enrollment ID: I20100629000258 |
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