| Mayflower Medical Group, Inc. | |
|
1433 N. Hollenbeck Ave. Suite 200 Covina CA 91722 | |
| (626) 331-2209 | |
| (626) 967-1410 |
| Full Name | Mayflower Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1433 N. Hollenbeck Ave., Covina, California |
| Authorized Official Name and Position | Araceli Fuentes (CONTRACTS MANAGER) |
| Authorized Official Contact | 6268001200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayflower Medical Group, Inc. 1433 N. Hollenbeck Ave. Suite 200, 100, 104 Covina CA 91722 Ph: (626) 331-2209 | Mayflower Medical Group, Inc. 1433 N. Hollenbeck Ave. Suite 200 Covina CA 91722 Ph: (626) 331-2209 |
| NPI Number | 1932146370 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 06/25/2019 |
| Medicare PECOS PAC ID | 6901804350 |
|---|---|
| Medicare Enrollment ID | O20061120000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932146370 | NPI | - | NPPES |
| Provider Name | Michael C Bang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366571309 PECOS PAC ID: 7012981251 Enrollment ID: I20040823001430 |
| Provider Name | Michelle L Gabbai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659437358 PECOS PAC ID: 9133176167 Enrollment ID: I20050401000562 |
| Provider Name | Khaled A Mawaheb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356492888 PECOS PAC ID: 3173611498 Enrollment ID: I20071119000697 |
| Provider Name | Araceli D Chanbonpin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962572909 PECOS PAC ID: 2264519727 Enrollment ID: I20080408000380 |
| Provider Name | Evelyn Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366455933 PECOS PAC ID: 9830255819 Enrollment ID: I20090226000316 |
| Provider Name | Randy Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750490702 PECOS PAC ID: 3870590698 Enrollment ID: I20090706000074 |
| Provider Name | Leopoldo C Sanchez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609838275 PECOS PAC ID: 6608901970 Enrollment ID: I20100407000697 |
| Provider Name | Adelaide B Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073561346 PECOS PAC ID: 6103954003 Enrollment ID: I20100513001044 |
| Provider Name | Suneetha S. Ali |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679523682 PECOS PAC ID: 6406801307 Enrollment ID: I20100608000692 |
| Provider Name | Virgencita M Cortes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780788497 PECOS PAC ID: 3072709013 Enrollment ID: I20101202000171 |
| Provider Name | Lina C. Dela Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952489858 PECOS PAC ID: 7012199821 Enrollment ID: I20110315000328 |
| Provider Name | Charlotte P Capulong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417370065 PECOS PAC ID: 3678883956 Enrollment ID: I20151117002513 |
| Provider Name | Bishoy T Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659506624 PECOS PAC ID: 4880902915 Enrollment ID: I20190627002843 |
| Provider Name | Eugene Edward Symaco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578097549 PECOS PAC ID: 3476971698 Enrollment ID: I20200918002442 |
| Provider Name | Eugene R Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386119725 PECOS PAC ID: 7719388677 Enrollment ID: I20210629002603 |
Hani Hashem, Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 546 W Badillo St Ste D, Covina, CA 91722 Phone: 626-331-2222 Fax: 626-331-2233 | |
Rodolfo E Magsino Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21304 E Arrow Hwy, Covina, CA 91724 Phone: 626-915-2055 Fax: 626-915-2098 | |
Dagher Md Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 376 W Badillo St, Covina, CA 91723 Phone: 626-332-1175 Fax: 626-966-8746 | |
Thomas T. Ha, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 530 W Badillo St, Suite E, Covina, CA 91722 Phone: 626-858-5370 | |
Covina Surgery Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 W College St Ste 200, Covina, CA 91723 Phone: 323-982-0004 | |
East San Gabriel Valley Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 N Grand Ave, Covina, CA 91724 Phone: 626-430-2900 Fax: 626-331-0035 | |
Healthy Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 W Badillo St, Covina, CA 91723 Phone: 626-332-6234 Fax: 626-331-1264 |