Andrew Jordan Kantzos, MD | |
11234 Anderson St, Loma Linda, CA 92350-1716 | |
(909) 558-4000 | |
Not Available |
Full Name | Andrew Jordan Kantzos |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 11234 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1366936890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207X00000X | Orthopaedic Surgery | A197949 (California) | Primary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Mailing Address | Practice Location Address |
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Andrew Jordan Kantzos, MD 27000 W Lugonia Ave Apt 12316, Redlands, CA 92374-2099 Ph: (480) 234-0773 | Andrew Jordan Kantzos, MD 11234 Anderson St, Loma Linda, CA 92350-1716 Ph: (909) 558-4000 |
Dr. Emily Mimi Nguyen, DPM Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Philip Henry Reiswig, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-583-6073 | |
Dr. Corey Brandon Fuller, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd Ste 102b, Loma Linda, CA 92354 Phone: 909-558-6444 Fax: 909-558-6118 | |
Parke William Hudson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Dr. Gary D Botimer, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354 Phone: 909-558-2808 Fax: 909-558-5599 | |
Allen Nedley, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Gme Office Westerly Suite 'c', Loma Linda, CA 92354 Phone: 909-558-6444 | |
Dr. Arthur Thiel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354 Phone: 909-558-2808 Fax: 909-558-5588 |