Dr Benjamin Domingo Dacula, MD | |
4502 E Avenue S, Palmdale, CA 93552-4480 | |
(877) 554-4404 | |
Not Available |
Full Name | Dr Benjamin Domingo Dacula |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 4502 E Avenue S, Palmdale, 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 |
---|---|---|---|
1295762326 | NPI | - | NPPES |
40182 | Other | KY | MEDICAL LICENSE |
25149 | Other | OK | MEDICAL LICENSE |
C54857 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 40182 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 25149 (Oklahoma) | Secondary |
207Q00000X | Family Medicine | C54857 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
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 |
---|---|
Dr Benjamin Domingo Dacula, MD 4502 E Avenue S, Palmdale, CA 93552-4480 Ph: (877) 554-4404 | Dr Benjamin Domingo Dacula, MD 4502 E Avenue S, Palmdale, CA 93552-4480 Ph: (877) 554-4404 |
Dr. Geoffrey Louis Phelan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1220 E Avenue S, Suite F, Palmdale, CA 93550 Phone: 661-273-1445 Fax: 661-273-4943 | |
Dr. John Woodcock, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 39115 Trade Center Dr, Palmdale, CA 93551 Phone: 661-273-0100 Fax: 661-273-5812 | |
Jennifer J. Choi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E Avenue S, Palmdale, CA 93552 Phone: 661-533-7500 | |
William A Landes, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36406 Ironhorse Dr, Palmdale, CA 93550 Phone: 540-348-4193 Fax: 540-348-4193 | |
Dr. Iqbal Ismail Kasam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 39115 Trade Center Dr # 130, Palmdale, CA 93551 Phone: 661-273-9550 | |
Elea D English, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 41230 11th St W, Suite #d, Palmdale, CA 93551 Phone: 661-272-1400 Fax: 661-272-9499 |