| Princeton Physicians Associates Inc. | |
|
227 W Valley Blvd Ste 298b San Gabriel CA 91776-3782 | |
| (626) 288-8292 | |
| (626) 288-8789 |
| Full Name | Princeton Physicians Associates Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 227 W Valley Blvd Ste 298b, San Gabriel, California |
| Authorized Official Name and Position | Suisun Simon Chan (OWNER) |
| Authorized Official Contact | 6262888292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Princeton Physicians Associates Inc. 227 W Valley Blvd Ste 298b San Gabriel CA 91776-3782 Ph: (626) 288-8292 | Princeton Physicians Associates Inc. 227 W Valley Blvd Ste 298b San Gabriel CA 91776-3782 Ph: (626) 288-8292 |
| NPI Number | 1841217726 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 07/24/2019 |
| Medicare PECOS PAC ID | 7911945019 |
|---|---|
| Medicare Enrollment ID | O20050419001517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841217726 | NPI | - | NPPES |
| GR0071580 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A42588 (California) | Primary |
| Provider Name | Suisun Chan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801815527 PECOS PAC ID: 2466557012 Enrollment ID: I20070410000634 |
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