Keith Thomas Kusunis
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):