Boruch Goldstein, | |
2800 Riverside Ave, Paso Robles, CA 93446-1311 | |
(805) 238-7250 | |
(805) 238-0165 |
Full Name | Boruch Goldstein |
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Gender | Male |
Speciality | Pediatrics |
Location | 2800 Riverside Ave, Paso Robles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164041265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A186744 (California) | Primary |
Entity Name | Community Health Centers Of The Central Coast Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161 |
Mailing Address | Practice Location Address |
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Boruch Goldstein, 2800 Riverside Ave Ste 101, Paso Robles, CA 93446-1312 Ph: (805) 238-7250 | Boruch Goldstein, 2800 Riverside Ave, Paso Robles, CA 93446-1311 Ph: (805) 238-7250 |
James M Mcghee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 416 Spring St, 201, Paso Robles, CA 93446 Phone: 805-238-7250 Fax: 805-238-0165 | |
Marylin B Ricardo-ortiz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 Spring St, Paso Robles, CA 93446 Phone: 805-238-7250 Fax: 805-929-6440 | |
Pablo Jose Yepez Bracamonte, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Riverside Ave, Paso Robles, CA 93446 Phone: 805-238-7250 Fax: 805-238-0165 | |
Ronald J. Field, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1108 Vine St, Paso Robles, CA 93446 Phone: 805-239-4222 Fax: 805-239-4832 | |
Dr. Deborah Ann Kronstad, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 416 Spring St, 201, Paso Robles, CA 93446 Phone: 805-238-7250 Fax: 805-238-0165 |