Cynthia Louise Frederickson, AUD | |
11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 | |
(909) 558-2822 | |
Not Available |
Full Name | Cynthia Louise Frederickson |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 11370 Anderson St Ste 2100, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134598014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 5864 (New Mexico) | Secondary |
231H00000X | Audiologist | 3136 (California) | Primary |
Provider Name | Faculty Physicians And Surgeons Of Llusm |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Mailing Address | Practice Location Address |
---|---|
Cynthia Louise Frederickson, AUD Loma Linda University Healthcare, 11234 Anderson Street, Room: 2586a, Loma Linda, CA 92354 Ph: (909) 558-7884 | Cynthia Louise Frederickson, AUD 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 Ph: (909) 558-2822 |
Ian Boyle, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Imari Greaves, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St Bldg 30, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Ian Benjamin Mertes, AU.D., PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: Va Loma Linda Healthcare System, 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Kelsey Samuelson, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Ashley Sol Chun, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 11201 Benton St Bldg 30, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Amanda Nicole Lane, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste 2100, Loma Linda, CA 92354 Phone: 909-558-2143 |