| |
316 E Las Tunas Dr Ste 102 316 E. Las Tunas Drive, Suite 102 San Gabriel CA 91776-1535 | |
(626) 300-8880 | |
(626) 300-8811 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 316 E Las Tunas Dr Ste 102, San Gabriel, California |
Authorized Official Name and Position | Zhi Zeng (PRESIDENT/CEO) |
Authorized Official Contact | 6263008880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
316 E Las Tunas Dr Ste 102 316 E Las Tunas Dr Ste 102 San Gabriel CA 91776-1535 Ph: (626) 300-8880 | 316 E Las Tunas Dr Ste 102 316 E. Las Tunas Drive, Suite 102 San Gabriel CA 91776-1535 Ph: (626) 300-8880 |
NPI Number | 1285826669 |
---|---|
Provider Enumeration Date | 08/09/2007 |
Last Update Date | 02/01/2017 |
Medicare PECOS PAC ID | 6608907258 |
---|---|
Medicare Enrollment ID | O20100626000251 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285826669 | NPI | - | NPPES |
00A701190 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | A70119 (California) | Primary |
Provider Name | Zhi Zeng |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093801854 PECOS PAC ID: 5496886046 Enrollment ID: I20100626000338 |
Green Peace Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 W Las Tunas Dr, Suite 3, San Gabriel, CA 91776 Phone: 626-573-0055 Fax: 626-573-4087 | |
Wynk's Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1788 S San Gabriel Blvd Ste 101, San Gabriel, CA 91776 Phone: 626-656-6253 Fax: 626-573-8643 | |
Ken D. Nguyen, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 S Santa Anita St Ste P15, San Gabriel, CA 91776 Phone: 626-898-4560 Fax: 844-407-0584 | |
Super Care Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 E Valley Blvd, San Gabriel, CA 91776 Phone: 626-572-3088 Fax: 626-572-3688 | |
Medex Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127-b W Las Tunas Dr., San Gabriel, CA 91776 Phone: 626-457-8600 | |
Aaron I Jeng Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-289-5454 |