Adele S Hultin, MD | |
39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | |
(510) 795-3000 | |
Not Available |
Full Name | Adele S Hultin |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 39400 Paseo Padre Pkwy, Fremont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144305814 | NPI | - | NPPES |
00A896610 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A89661 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Adele S Hultin, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Adele S Hultin, MD 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 795-3000 |
Jerry Vann Martin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 Mowry Ave, Suite 212, Fremont, CA 94538 Phone: 510-608-6174 Fax: 510-745-6435 | |
Kristi Tran, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Emergency Department, Fremont, CA 94538 Phone: 510-248-3000 | |
Lisa L. Minshall, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000 | |
Dr. Usha Rengarajan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-490-1222 | |
Dr. Shelly Verma, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-490-1222 | |
Jamey J. Rock, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000 |