Alicia La, DO | |
901 Marshall St. 3rd Floor #c334, Redwood City, CA 94063 | |
(650) 299-2606 | |
Not Available |
Full Name | Alicia La |
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Gender | Female |
Speciality | Pediatrics |
Location | 901 Marshall St. 3rd Floor #c334, Redwood City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588195176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 20A16727 (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 |
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Alicia La, DO 901 Marshall St. 3rd Floor #c334, Redwood City, CA 94063-2026 Ph: (626) 397-5144 | Alicia La, DO 901 Marshall St. 3rd Floor #c334, Redwood City, CA 94063 Ph: (650) 299-2606 |
Danny Linggonegoro, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 450 Broadway St Fl C2, Redwood City, CA 94063 Phone: 650-721-7190 | |
Thomas E. Sipes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Jean Chi-hee Rhim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Dr. Gina Lucy Rodriguez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 77 Birch St Ste B, Redwood City, CA 94062 Phone: 650-363-6161 Fax: 650-363-9311 | |
Roma Hitesh Shah, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Brewster Ave Ste 175, Redwood City, CA 94063 Phone: 650-216-7794 | |
Leslie Sue, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Brewster Ave Ste 175, Redwood City, CA 94063 Phone: 650-216-7794 Fax: 650-216-7796 | |
Gizella Sheila Laksana, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2710 Middlefield Rd, Redwood City, CA 94063 Phone: 650-578-7141 Fax: 650-298-6881 |