| Shant Tomassian Md Inc | |
|
415 W Route 66 Ste 201 Glendora CA 91740-4335 | |
| (626) 963-0900 | |
| (626) 963-9663 |
| Full Name | Shant Tomassian Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 415 W Route 66 Ste 201, Glendora, California |
| Authorized Official Name and Position | Shant Greg Tomassian (OWNER) |
| Authorized Official Contact | 6269630900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shant Tomassian Md Inc 415 W Route 66 Ste 201 Glendora CA 91740-4335 Ph: (626) 963-0900 | Shant Tomassian Md Inc 415 W Route 66 Ste 201 Glendora CA 91740-4335 Ph: (626) 963-0900 |
| NPI Number | 1144956954 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 07/26/2022 |
| Medicare PECOS PAC ID | 6204210495 |
|---|---|
| Medicare Enrollment ID | O20220907003545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144956954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shant Tomassian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215594692 PECOS PAC ID: 7012391204 Enrollment ID: I20220909001586 |
Burrows Family Practice, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1377 S Grand Ave, Glendora, CA 91740 Phone: 626-483-3348 Fax: 626-623-7258 | |
Valley Gastoenterology Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Carroll Ave, Suite 201, Glendora, CA 91741 Phone: 626-963-2490 Fax: 626-963-2495 | |
Marc Gutin M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 S Grand Ave, Suite 224, Glendora, CA 91741 Phone: 626-335-8094 Fax: 626-335-1874 | |
Nalini Singh Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 412 W Carroll Ave Ste 106, Glendora, CA 91741 Phone: 626-244-8170 | |
Devesh N Patel,md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Route 66, Suite 302, Glendora, CA 91740 Phone: 626-914-1514 Fax: 626-914-1505 | |
Krunal J Mehta Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Route 66 Ste 214, Glendora, CA 91740 Phone: 626-335-4129 Fax: 626-335-6177 | |
Nilesh N. Patel Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 W Route 66 Ste 302, Glendora, CA 91740 Phone: 626-914-1514 Fax: 626-914-1505 |