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Keith Thomas Kusunis

  • Male

Medical Specialty

Professional ID

  • NPI: 1033110945
  • PECOS ID: 8022145820
  • Enrollment ID: I20100428000157
  • Credential(MD, DO, DPM):
  • Medical School: University Of Illinois At Chicago Health Science Center
  • Medical School Graduation Year: 1982

Hospital Service

  • Hospital CCN1: 050231
  • Business Name (LBN)1: Pomona Valley Hospital Medical Center

Medical Practices

  • Organization Name: Premier Family Medicine Associates, Inc
  • Group Practice ID assigned by PECOS: 4284547522
  • Number of Group Practice member: 50

Location

  • Address1: 1770 N Orange Grove Ave
  • Address2: Suite 101
  • City: Pomona
  • State: California
  • Zip Code: 91767
  • Phone Number: (909)469-9494

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):