Garth P Leclair, | |
11370 Anderson St, Suite 2100, Loma Linda, CA 92354-3450 | |
(909) 558-2822 | |
Not Available |
Full Name | Garth P Leclair |
---|---|
Gender | Male |
Speciality | Qualified Audiologist |
Experience | 23 Years |
Location | 11370 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750319497 | NPI | - | NPPES |
AU0021660 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AU2166 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1065 |
Provider Name | Faculty Physicians And Surgeons Of Llusm |
---|---|
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 |
---|---|
Garth P Leclair, 54701 File Number, Los Angeles, CA 90074-4701 Ph: (909) 558-3111 | Garth P Leclair, 11370 Anderson St, Suite 2100, Loma Linda, CA 92354-3450 Ph: (909) 558-2822 |
Cynthia Louise Frederickson, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 11370 Anderson St Ste 2100, Loma Linda, CA 92354 Phone: 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 |