Timothy J Dauwalder Do A Professional Medical Corporation | |
150 W 1st St Suite 300 Claremont CA 91711-4750 | |
(909) 621-2522 | |
(909) 941-6974 |
Full Name | Timothy J Dauwalder Do A Professional Medical Corporation |
---|---|
Speciality | Family Medicine |
Location | 150 W 1st St, Claremont, California |
Authorized Official Name and Position | Timothy J Dauwalder (OWNER) |
Authorized Official Contact | 9096212522 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Timothy J Dauwalder Do A Professional Medical Corporation 150 W 1st St Suite 300 Claremont CA 91711-4750 Ph: (909) 621-2522 | Timothy J Dauwalder Do A Professional Medical Corporation 150 W 1st St Suite 300 Claremont CA 91711-4750 Ph: (909) 621-2522 |
NPI Number | 1689921884 |
---|---|
Provider Enumeration Date | 08/07/2012 |
Last Update Date | 02/23/2016 |
Medicare PECOS PAC ID | 4587815857 |
---|---|
Medicare Enrollment ID | O20121114000214 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689921884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A7875 (California) | Primary |
Provider Name | Timothy J Dauwalder |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942379987 PECOS PAC ID: 6709847528 Enrollment ID: I20041025000351 |
Jennifer Sun, Md Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 689 W Foothill Blvd, Suite B, Claremont, CA 91711 Phone: 909-482-2058 Fax: 909-482-2092 | |
Chaparral Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Harvard Ave, Chaparral Medical Group, Claremont, CA 91711 Phone: 909-624-4503 Fax: 909-624-6364 | |
Robert Burwell, Dds, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 N Mills Ave, Claremont, CA 91711 Phone: 909-621-0563 Fax: 909-624-2530 |