Dr Charis Kaiulani Bush, DO | |
1187 Coast Village Rd Ste 10a, Montecito, CA 93108-2764 | |
(805) 565-0020 | |
Not Available |
Full Name | Dr Charis Kaiulani Bush |
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Gender | Female |
Speciality | Family Medicine |
Location | 1187 Coast Village Rd Ste 10a, Montecito, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679104335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 20441 (California) | Primary |
Entity Name | The Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439 |
Mailing Address | Practice Location Address |
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Dr Charis Kaiulani Bush, DO 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707 | Dr Charis Kaiulani Bush, DO 1187 Coast Village Rd Ste 10a, Montecito, CA 93108-2764 Ph: (805) 565-0020 |
Tommaso Tosini, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1187 Coast Village Rd Ste 10a, Montecito, CA 93108 Phone: 805-565-0020 Fax: 805-565-0023 | |
Dr. Aristides Charles Avgeris, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1187 Coast Village Rd Ste 10a, Montecito, CA 93108 Phone: 805-565-0020 |