Aisha Rollins, MD | |
4058 Willows Rd, Alpine, CA 91901-1668 | |
(619) 445-1188 | |
Not Available |
Full Name | Aisha Rollins |
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Gender | Female |
Speciality | Pediatrics |
Location | 4058 Willows Rd, Alpine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700103520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A120855 (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 |
---|---|
Aisha Rollins, MD 1041 N China Lake Blvd, Suite B, Ridgecrest, CA 93555-3168 Ph: (760) 466-6404 | Aisha Rollins, MD 4058 Willows Rd, Alpine, CA 91901-1668 Ph: (619) 445-1188 |
Jean Gail Mullenax, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 Fax: 619-659-3140 | |
Dr. Laurie Clemens Mitchell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Southern Indian Health Coucil, 4058 Willows Road, Alpine, CA 91901 Phone: 619-445-1188 | |
Dr. Karen Lynn Hanten, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2733 Alpine Blvd, Alpine, CA 91901 Phone: 619-445-5664 Fax: 619-445-3531 | |
Lars Mikael Stensman, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1620 Alpine Blvd Ste 116, Alpine, CA 91901 Phone: 619-662-4100 |