Douglas Thierer, DO | |
1200 El Camino Real, South San Francisco, CA 94080-3208 | |
(650) 742-2000 | |
Not Available |
Full Name | Douglas Thierer |
---|---|
Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 1200 El Camino Real, South San Francisco, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811075468 | NPI | - | NPPES |
00AX69980 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 20A6998 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Douglas Thierer, DO 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Douglas Thierer, DO 1200 El Camino Real, South San Francisco, CA 94080-3208 Ph: (650) 742-2000 |
Cary L. Young, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 192 Beacon St, South San Francisco, CA 94080 Phone: 650-589-6500 Fax: 650-589-7256 | |
Lisa Marie Key, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Sandra J. Lee, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
David H Kaye, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 |