Christophe Charles Le Renard, MD | |
1010 Murray St, San Luis Obispo, CA 93405-8800 | |
(702) 697-0082 | |
(702) 369-8300 |
Full Name | Christophe Charles Le Renard |
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Gender | Male |
Speciality | Pediatrics |
Location | 1010 Murray St, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538103742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A63590 (California) | Primary |
Entity Name | Cottage Clinical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235790544 PECOS PAC ID: 0345625950 Enrollment ID: O20220919001496 |
Mailing Address | Practice Location Address |
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Christophe Charles Le Renard, MD 3006 S. Maryland Parkway, 505, Las Vegas, NV 89109 Ph: (888) 350-2911 | Christophe Charles Le Renard, MD 1010 Murray St, San Luis Obispo, CA 93405-8800 Ph: (702) 697-0082 |
Dr. Kathleen L Long, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1235 Osos St, Suite 100, San Luis Obispo, CA 93401 Phone: 805-549-0888 Fax: 805-549-8463 | |
Dr. Thomas A Wilson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-546-7692 Fax: 805-546-7932 | |
Natasha Raja, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Murray St, San Luis Obispo, CA 93405 Phone: 888-350-2911 Fax: 702-369-5827 | |
Dr. Rene Henry Bravo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 California Blvd, Suite J, San Luis Obispo, CA 93401 Phone: 805-544-4460 | |
Dr. Susan Sharon Klaw Trout, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1235 Osos St Ste 100, San Luis Obispo, CA 93401 Phone: 805-549-0888 Fax: 805-549-8463 | |
Dr. Wanda L Lo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1235 Osos St, Suite 100, San Luis Obispo, CA 93401 Phone: 805-549-0888 Fax: 805-549-8463 | |
Dr. Sarah Van Camp, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1551 Bishop St, San Luis Obispo, CA 93401 Phone: 805-238-7250 |