Dale A Kooistra, MD, PHD | |
15525 Pomerado Rd, Suite D2, Poway, CA 92064-2435 | |
(858) 675-8001 | |
(858) 487-1337 |
Full Name | Dale A Kooistra |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 40 Years |
Location | 15525 Pomerado Rd, Poway, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831182971 | NPI | - | NPPES |
00G557340 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | G55734 (California) | Primary |
Entity Name | Rishu Gupta Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902519986 PECOS PAC ID: 8628424413 Enrollment ID: O20231031001706 |
Mailing Address | Practice Location Address |
---|---|
Dale A Kooistra, MD, PHD 15525 Pomerado Rd, Suite D2, Poway, CA 92064-2435 Ph: (858) 675-8001 | Dale A Kooistra, MD, PHD 15525 Pomerado Rd, Suite D2, Poway, CA 92064-2435 Ph: (858) 675-8001 |
Ernest Stanley Rodier, Frcpc,inc, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 15725 Pomerado Road, Suite 108, Poway, CA 92064 Phone: 858-485-8111 Fax: 858-485-9926 | |
Dr. Anne Kathleen Truitt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15611 Pomerado Rd Ste 400, Poway, CA 92064 Phone: 858-675-3140 Fax: 858-385-7855 | |
Dr. Paul Chun-pu Jou, M.D., M.S. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15611 Pomerado Rd Ste 400, Poway, CA 92064 Phone: 858-657-3100 | |
Ruth A Larson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15525 Pomerado Rd, Suite A2, Poway, CA 92064 Phone: 858-451-3311 Fax: 858-451-1142 | |
Victoria Regina Barrio, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 15725 Pomerado Rd Ste 102, Poway, CA 92064 Phone: 619-267-8303 Fax: 619-267-4835 | |
Naomi Travers, NP Dermatology Medicare: Medicare Enrolled Practice Location: 15725 Poway Road, Suite 102, Poway, CA 92064 Phone: 858-397-5755 Fax: 858-454-5724 |