Chase William Gulstrom, | |
3430 E 4th St Unit 3041, Ontario, CA 91764-5066 | |
(808) 228-0886 | |
Not Available |
Full Name | Chase William Gulstrom |
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Gender | Male |
Speciality | Family Medicine |
Location | 3430 E 4th St Unit 3041, Ontario, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386149391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 146077 (Alaska) | Primary |
Entity Name | Norton Sound Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154358232 PECOS PAC ID: 7517858137 Enrollment ID: O20040323001076 |
Entity Name | Norton Sound Health Corporation |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1225101041 PECOS PAC ID: 7517858137 Enrollment ID: O20080227000439 |
Mailing Address | Practice Location Address |
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Chase William Gulstrom, 3430 E 4th St Unit 3041, Ontario, CA 91764-5066 Ph: (808) 228-0886 | Chase William Gulstrom, 3430 E 4th St Unit 3041, Ontario, CA 91764-5066 Ph: (808) 228-0886 |
Andrelee G. Taganas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2295 S Vineyard Ave Ste A, Ontario, CA 91761 Phone: 909-427-7132 | |
William Craig Paley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 437 N Euclid Ave, Ontario, CA 91762 Phone: 909-988-2555 Fax: 909-988-4447 | |
Dr. Luis A Lomeli, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 527 N Palm Ave, Suite 101, Ontario, CA 91762 Phone: 909-983-6622 | |
Hemalatha Murugan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1131 W 6th St Ste 150, Ontario, CA 91762 Phone: 909-482-4462 | |
Ruth Chambi - Hernandez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1871 E 4th St, Ontario, CA 91764 Phone: 909-297-3337 Fax: 909-532-8171 | |
Dr. Vache Chakmakian, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 437 N Euclid Ave, Ontario, CA 91762 Phone: 909-988-2555 | |
Naila Mubashar, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 437 N Euclid Ave, Ontario, CA 91762 Phone: 909-988-2555 |