Brian Srotananda, is a
Student In An Organized Health Care Education/training Program based in Oroville, California. Brian Srotananda is licensed to practice in California (license number ) and his current practice location is
1453 Downer St, Oroville, California. He can be reached at his office (for appointments etc.) via phone at
(530) 955-0880.
NPI number for Brian Srotananda is 1174052955 and his current mailing address is Po Box 5150, Chico, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174052955.
Healthcare Provider's Profile
| Full Name | Brian Srotananda |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1453 Downer St, Oroville, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174052955
- Provider Enumeration Date: 06/06/2017
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Brian Srotananda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174052955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (California) | Secondary |
| 374U00000X | Home Health Aide | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Srotananda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brian Srotananda,
Po Box 5150,
Chico, CA 95927-5150
Ph: (530) 828-0880 | Brian Srotananda,
1453 Downer St,
Oroville, CA 95965-4966
Ph: (530) 955-0880 |
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