Dr Blake Andrew Wylie, DO | |
23181 Verdugo Dr Ste 103a, Laguna Hills, CA 92653-1313 | |
(949) 366-1053 | |
Not Available |
Full Name | Dr Blake Andrew Wylie |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 23181 Verdugo Dr Ste 103a, Laguna Hills, 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 |
---|---|---|---|
1922314145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A11088 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centro De Salud De La Comunidad De San Ysidro, Inc | 6901709435 | 211 |
Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
Entity Name | Housecall Doctors Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033164017 PECOS PAC ID: 6103802855 Enrollment ID: O20040624001654 |
Mailing Address | Practice Location Address |
---|---|
Dr Blake Andrew Wylie, DO 2721 Washington Street, Julian, CA 92036 Ph: (760) 765-1223 | Dr Blake Andrew Wylie, DO 23181 Verdugo Dr Ste 103a, Laguna Hills, CA 92653-1313 Ph: (949) 366-1053 |
Lisa L. Majer, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24411 Health Center Dr, #510, Laguna Hills, CA 92653 Phone: 949-452-7525 Fax: 949-452-7511 | |
Dr. Jorge A Rivero, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23521 Paseo De Valencia, Suite 108, Laguna Hills, CA 92653 Phone: 949-588-7262 Fax: 949-588-7260 | |
Anna Yeung, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22921 Triton Way Ste 125, Laguna Hills, CA 92653 Phone: 949-366-1053 | |
Dr. Monica M. Harms, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23141 Moulton Pkwy Ste 102, Laguna Hills, CA 92653 Phone: 949-916-9100 Fax: 949-916-0091 | |
Dr. Sara Etemad, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 23961 Calle De La Magdalena, Laguna Hills, CA 92653 Phone: 949-238-4100 | |
Jose Fernando Velasquez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653 Phone: 949-215-5055 | |
David Rios, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24953 Paseo De Valencia, Ste 4a, Laguna Hills, CA 92653 Phone: 949-837-7521 |