| |
648 Rancho Los Nogales Dr Covina CA 91724-3351 | |
(626) 862-3584 | |
(626) 331-1839 |
Full Name | |
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Speciality | Family Medicine |
Location | 648 Rancho Los Nogales Dr, Covina, California |
Authorized Official Name and Position | Macario L Domaguing Jr. (MD OWNER) |
Authorized Official Contact | 6263354129 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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648 Rancho Los Nogales Dr Covina CA 91724-3351 Ph: (626) 862-3584 | 648 Rancho Los Nogales Dr Covina CA 91724-3351 Ph: (626) 862-3584 |
NPI Number | 1336255694 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 02/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336255694 | NPI | - | NPPES |
W22352 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A37893 (California) | Primary |
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 | |
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 | |