| Joshua Medical Group | |
|
7872 Walker Street Suite 211 La Palma CA 90623 | |
| (714) 527-8777 | |
| (714) 527-8990 |
| Full Name | Joshua Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 7872 Walker Street, La Palma, California |
| Authorized Official Name and Position | Jinni Chao (ADMIN. ASSISTANT) |
| Authorized Official Contact | 7145278943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Medical Group 7872 Walker Street Suite 211 La Palma CA 90623 Ph: (714) 527-8777 | Joshua Medical Group 7872 Walker Street Suite 211 La Palma CA 90623 Ph: (714) 527-8777 |
| NPI Number | 1215150529 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 11/04/2016 |
| Medicare PECOS PAC ID | 4789854621 |
|---|---|
| Medicare Enrollment ID | O20110831000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215150529 | NPI | - | NPPES |
| GR0061200 | Medicaid | CA | |
| GR0061190 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2080A0000X | Pediatrics - Adolescent Medicine | (* (Not Available)) | Secondary |
| Provider Name | Kwan T Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013099746 PECOS PAC ID: 3173799905 Enrollment ID: I20111229000163 |
| Provider Name | Winston C Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932284817 PECOS PAC ID: 6204006141 Enrollment ID: I20111229000218 |
| Provider Name | Andrew Mui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992135826 PECOS PAC ID: 1951625391 Enrollment ID: I20150113001908 |
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