Daniel E Spencer, MD | |
San Diego La Mesa, 3875 Avacado Blvd, La Mesa, CA 91941 | |
(619) 670-2128 | |
Not Available |
Full Name | Daniel E Spencer |
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Gender | Male |
Speciality | Pediatrics |
Location | San Diego La Mesa, La Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700953650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | C51747 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Daniel E Spencer, MD 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-1011 | Daniel E Spencer, MD San Diego La Mesa, 3875 Avacado Blvd, La Mesa, CA 91941 Ph: (619) 670-2128 |
Lisa Lew Gabhart, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600 | |
Li-wen Jen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600 | |
John M. Goldenring, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600 | |
Sara Susanne Rourke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2701 | |
Kristen Leanne Empie, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109 | |
Paul Michael Imus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109 | |
Dr. Eric John Meyer Reed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2701 |