Adel G Sandouk


Address: 210 S Grand Ave, Suite 307, Glendora, CA 91741-4278

Adel G Sandouk (NPI# 1043315575, PAC ID# 8325082043) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.

Physician Overview

Nation Provider ID (NPI) 1043315575
PAC ID by PECOS 8325082043
Professional Enrollment ID I20050614000775
Full Name Adel G Sandouk
Address 210 S Grand Ave
Suite 307
Glendora
CA 91741-4278
Gender M
Credential MD
Graduation Year 1993
Primary Specialty PULMONARY DISEASE
Secondary Specialties INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050382 CITRUS VALLEY MEDICAL CENTER-IC CAMPUS
050597 FOOTHILL PRESBYTERIAN HOSPITAL

Other Locations

Address Phone Organization
210 S Grand Ave, Suite 307, Glendora, CA 91741-4278

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 210 S GRAND AVE
SUITE 307
City GLENDORA
State CA
Zip 91741-4278

Physicians in the same location

Name Specialty Organization Address
Leela Athalye Dermatology Island Dermatology, Inc. 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266
Nancy Rehfeld Nurse Practitioner 210 S Grand Ave, Suite 320, Glendora, CA 91741-4286
Reena S Sampat Physician Assistant Island Dermatology, Inc. 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266
Dennis T Sugiyama Optometry Mark B Kislinger Md, Inc. 210 S Grand Ave, Suite 106, Glendora, CA 91741-4276
Michael M Lee Psychiatry 210 S Grand Ave, Suite 320, Glendora, CA 91741-4286
Lisa L Thomsen Family Medicine 210 S Grand Ave, Suite 302, Glendora, CA 91741-4281
Tony Kastoon Endocrinology Bashar G Saad Md Inc 210 S Grand Ave, Suite 224, Glendora, CA 91741-4273
Timothy Jay Ferguson Family Medicine Timothy J Ferguson Md Inc. 210 S Grand Ave, Suite 400, Glendora, CA 91741-4205
Badrudin R Kurwa Ophthalmology 210 S Grand Ave, Suite 115, Glendora, CA 91741-4263
Shana N Garcia Psychologist, Clinical 210 S Grand Ave, Suite 320, Glendora, CA 91741-4286
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Physicians in the same zip code

Name Specialty Organization Address
Melissa L Frost Nurse Practitioner 535 N Glendora Ave, Glendora, CA 91741-2005
Ibrahim Issa Hanna Internal Medicine 640 W Foothill Blvd, Suite 100, Glendora, CA 91741-2403
Jeanine L Goff Nurse Practitioner Integrative Urgent Care, Inc. 148 N Grand Ave, Glendora, CA 91741-2434
Gale Estelle Laidlaw Nurse Practitioner Integrative Urgent Care, Inc. 148 N Grand Ave, Glendora, CA 91741-2434
Tallin Martirossian Physician Assistant Integrative Urgent Care, Inc. 148 N Grand Ave, Glendora, CA 91741-2434
Amanda Duncan Physician Assistant Integrative Urgent Care, Inc. 148 N Grand Ave, Glendora, CA 91741-2434
Teresa A Franzman Chiropractic 705 W Foothill Blvd, Glendora, CA 91741-2473
Martin Habern Chiropractic 705 W Foothill Blvd, Glendora, CA 91741-2473
Thomas J Malcolm Psychologist, Clinical 112 W Bennett Ave, Suite 4, Glendora, CA 91741-2568
Richard Foss Psychologist, Clinical 150 E Meda Ave, Suite 110, Glendora, CA 91741-2607
Find all physicians in zip 91741

Competitor

Search similar physicians

City GLENDORA
Zip Code 91741
Specialty PULMONARY DISEASE
City + Specialty GLENDORA + PULMONARY DISEASE

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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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