Adriane J Dull, | |
817 S Main St Ste D, Corona, CA 92882-3407 | |
(951) 339-8459 | |
Not Available |
Full Name | Adriane J Dull |
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Gender | Female |
Speciality | Internal Medicine |
Location | 817 S Main St Ste D, Corona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538665773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A173932 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Adriane J Dull, 245 Main St Apt 314, Venice, CA 90291-5216 Ph: (917) 589-6448 | Adriane J Dull, 817 S Main St Ste D, Corona, CA 92882-3407 Ph: (951) 339-8459 |
Dr. Imran Hasnain, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1157 W Grand Blvd, Corona, CA 92882 Phone: 951-737-1000 Fax: 951-737-1558 | |
M. Mazen Jamal, M.D., M.P.H. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2097 Compton Ave Ste 103, Corona, CA 92881 Phone: 951-934-0505 Fax: 951-444-7749 | |
Mr. Narakanti Nimmagadda Rao, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 760 S Washburn Ave #7, Corona, CA 92882 Phone: 951-735-2311 Fax: 951-737-1655 | |
Dr. Isaac K Tsai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 341 Magnolia Ave., Suite 205, Corona, CA 92879 Phone: 951-735-4771 Fax: 951-735-3855 | |
Dr. Mutahir Farhan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 284 Dupont St Ste 130, Corona, CA 92879 Phone: 951-497-3749 Fax: 954-405-8701 | |
Mr. Gilbert Oscar Plasencia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2250 S Main St, Suite #201, Corona, CA 92882 Phone: 951-734-4880 Fax: 951-734-7963 | |
Mohammad Khaled Shahin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21634 Retreat Pkwy, Corona, CA 92883 Phone: 951-493-6805 |