Donna Marino, DO | |
731 S Highland Ave, Fullerton, CA 92832-2753 | |
(714) 446-5100 | |
(714) 449-0726 |
Full Name | Donna Marino |
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Gender | Female |
Speciality | Pediatrics |
Location | 731 S Highland Ave, Fullerton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790786655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 20A6308 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Donna Marino, DO 731 S Highland Ave, Fullerton, CA 92832-2753 Ph: (714) 446-5100 | Donna Marino, DO 731 S Highland Ave, Fullerton, CA 92832-2753 Ph: (714) 446-5100 |
Christine Hae-jin Won, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 N Harbor Blvd, Suite 220, Fullerton, CA 92835 Phone: 714-449-6990 Fax: 714-626-2682 | |
Mrs. Elizabeth Rivera Reyes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 W Bastanchury Rd Ste 115, Fullerton, CA 92835 Phone: 714-446-9030 Fax: 714-446-9130 | |
Dr. Gunjeet K Kala Ahluwalia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 220 Laguna Rd Ste 5, Fullerton, CA 92835 Phone: 714-879-2980 | |
Victor Nekrasov, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2251 N Harbor Blvd, Fullerton, CA 92835 Phone: 714-449-6230 | |
Michael Marino, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 731 S Highland Ave, Fullerton, CA 92832 Phone: 714-446-5100 Fax: 714-449-0726 | |
Africa S So, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 E Valencia Mesa Dr, #100, Fullerton, CA 92835 Phone: 714-525-4185 Fax: 714-525-7321 |