Dr Benjamin Maurice Kershberg, MD | |
2295 S Vineyard Ave, Mob A, Ontario, CA 91761-7925 | |
(909) 724-2554 | |
(909) 724-2552 |
Full Name | Dr Benjamin Maurice Kershberg |
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Gender | Male |
Speciality | Pediatrics |
Location | 2295 S Vineyard Ave, Ontario, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003120429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A111594 (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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Dr Benjamin Maurice Kershberg, MD 2150 S State College Blvd, Apt. 1076, Anaheim, CA 92806-0102 Ph: (310) 927-4442 | Dr Benjamin Maurice Kershberg, MD 2295 S Vineyard Ave, Mob A, Ontario, CA 91761-7925 Ph: (909) 724-2554 |
Dr. Jason Francis Lue, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 323-896-7893 | |
Yolanda Quam, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1501a S Bon View Ave, Ontario, CA 91761 Phone: 909-673-9125 Fax: 909-673-1676 | |
Rosario Retino, MD FACP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 W G Street, Ste 101, Ontario, CA 91762 Phone: 909-395-9788 Fax: 909-395-9788 | |
Alexandora Ekkens Siporin, Pediatrics Medicare: Medicare Enrolled Practice Location: 955 N Duesenberg Dr, #6322, Ontario, CA 91764 Phone: 505-934-0860 | |
Dianne Elizabeth Quintana, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2680 E Riverside Dr, Ontario, CA 91761 Phone: 909-469-9013 Fax: 909-469-9014 | |
Dr. Elizabeth T Lai, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1640 S Grove Ave, Suite C, Ontario, CA 91761 Phone: 909-477-8900 Fax: 909-277-7894 |