MEDICARE: DR. ANTHONY GEORGE KOERNER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G24734	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487620357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY GEORGE KOERNER M.D.

Provider Business Mailing Address
First Line	:	959 E WALNUT ST
Second Line	:	SUITE 120
City	:	PASADENA
State	:	CA
Zip	:	91106-1451
Country	:	US
Telephone Number	:	626-795-5118
Fax Number	:	626-795-2716

Provider Business Practice Location Address
First Line	:	959 E WALNUT ST
Second Line	:	SUITE 120
City	:	PASADENA
State	:	CA
Zip	:	91106-1451
Country	:	US
Telephone Number	:	626-795-5118
Fax Number	:	626-795-2716

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	07/27/2012

Similar Medicare Providers

1417953175 — DR. KATHLEEN JO LUCAS DDS
Practice Location Address:

959 E WALNUT ST , #208
PASADENA, CA
91106-1451

Practice Phone: 626-793-6930
Practice Fax: 626-793-6950

1811963762 — DR. DONALD MARK KROE M.D.
Practice Location Address:

959 E WALNUT ST , SUITE 120
PASADENA, CA
91106-1451

Practice Phone: 626-795-5118
Practice Fax: 626-795-2716

1700852696 — DR. LINDA SHEN M.D.
Practice Location Address:

959 E WALNUT ST , SUITE 120
PASADENA, CA
91106-1451

Practice Phone: 626-795-5118
Practice Fax: 626-795-2716

1598732448 — DR. JOHN PATRICK CARMODY M.D.
Practice Location Address:

959 E WALNUT ST , SUITE 120
PASADENA, CA
91106-1451

Practice Phone: 626-795-5118
Practice Fax: 626-795-2716

1225005192 — DR. JOHN JOSEPH VANDYKE M.D.
Practice Location Address:

959 E WALNUT ST , SUITE 120
PASADENA, CA
91106-1451

Practice Phone: 626-795-5118
Practice Fax: 626-795-2716

1730120106 — DR. MARDY I. WASSERMAN ED.D.
Practice Location Address:

959 E WALNUT ST , SUITE 212
PASADENA, CA
91106-1451

Practice Phone: 626-796-7760
Practice Fax: 818-790-2468

Directions to “ DR. ANTHONY GEORGE KOERNER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.