Isaac Laurence Kelly
SAN ANTONIO UROLOGY MEDICAL GROUP INC


Address: 1798 N Garey Ave, Pomona, CA 91767-2918
Phone: 9098659500

Isaac Laurence Kelly (NPI# 1083057525, PAC ID# 7618200361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.

Physician Overview

Nation Provider ID (NPI) 1083057525
PAC ID by PECOS 7618200361
Professional Enrollment ID I20190611003377
Full Name Isaac Laurence Kelly
Organization Legal Name SAN ANTONIO UROLOGY MEDICAL GROUP INC
Address 1798 N Garey Ave
Pomona
CA 91767-2918
Phone Number 9098659500
Gender M
Medical School LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2013
Primary Specialty UROLOGY
Group Practice PAC ID 7719076017
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050099 SAN ANTONIO REGIONAL HOSPITAL

Other Locations

Address Phone Organization
1798 N Garey Ave, Pomona, CA 91767-2918 9098659500 SAN ANTONIO UROLOGY MEDICAL GROUP INC
1175 E Arrow Hwy, Suite E, Upland, CA 91786-5525 9099859737 SAN ANTONIO UROLOGY MEDICAL GROUP INC

Organization Information

Organization Legal Name SAN ANTONIO UROLOGY MEDICAL GROUP INC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Victor C Ching Urology San Antonio Urology Medical Group Inc 1175 E Arrow Hwy, Suite E, Upland, CA 91786-5525

Office Location

Street Address 1798 N GAREY AVE
City POMONA
State CA
Zip 91767-2918

Physicians in the same location

Name Specialty Organization Address
Angelique B Carter Nurse Practitioner Bryan X Lee Md A Professional Medical Corporation 1798 N Garey Ave, Pomona, CA 91767-2918
Hamidreza Torshizy Diagnostic Radiology Pomona Valley Imaging Medical Group Inc 1798 N Garey Ave, Pomona, CA 91767-2918
Johnson B Lightfoote Diagnostic Radiology Pomona Valley Imaging Medical Group Inc 1798 N Garey Ave, Pomona, CA 91767-2918
Madiha Khurshid Emergency Medicine Cep America - California 1798 N Garey Ave, Pomona, CA 91767-2918
Marc L Weller Anesthesiology Inland Valley Anesthesia Medical Group 1798 N Garey Ave, Pomona, CA 91711-0001
Clara Man-ching Olcott Otolaryngology Inland Ear Nose and Throat A Medical Group Inc 1798 N Garey Ave, Pomona, CA 91767-2918
Christina W Tsao Diagnostic Radiology Pomona Valley Imaging Medical Group Inc 1798 N Garey Ave, Pomona, CA 91767-2918
Hoai Tran Physician Assistant San Bernardino Medical Orthopedic Group Inc 1798 N Garey Ave, Pomona, CA 91767-2918
Tariq A Kelker General Surgery 1798 N Garey Ave, Pomona, CA 91767-2918
Robert C Jones Pulmonary Disease 1798 N Garey Ave, Pomona, CA 91767-2918
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
James Barr Nurse Practitioner Minuteclinic Diagnostic Medical Group of California Inc 775 E Foothill Blvd, Pomona, CA 91767-1223
Warren Gabrillo Family Medicine 219 E Foothill Blvd, Pomona, CA 91767-1403
Richard Veirs Chiropractic 355 E Foothill Blvd, Suite B, Pomona, CA 91767-1471
Jia Mao Psychiatry Tricity Mental Health Center 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639
Wayne E Houpt Jr. Psychiatry Tricity Mental Health Center 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639
Jennifer Lee Clinical Social Worker Tricity Mental Health Center 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639
Forrest Doan Psychiatry Tricity Mental Health Center 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639
Seeyam Teimoori Nobandegani Psychiatry Tricity Mental Health Center 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639
Susan M Bishop Clinical Social Worker Tricity Mental Health Center 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639
Patricia F Wallace-burke Clinical Psychologist Tricity Mental Health Center 2008 N Garey Ave, Pomona, CA 91767-1639
Find all physicians in zip 91767

Competitor

Search similar physicians

City POMONA
Zip Code 91767
Specialty UROLOGY
City + Specialty POMONA + UROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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