Dr Charles Martin Strom, MD | |
33608 Ortega Hwy, San Juan Capistrano, CA 92690 | |
(949) 728-4701 | |
(949) 728-4732 |
Full Name | Dr Charles Martin Strom |
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Gender | Male |
Speciality | Pediatrics |
Location | 33608 Ortega Hwy, San Juan Capistrano, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972697233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 643341 (California) | Primary |
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
Mailing Address | Practice Location Address |
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Dr Charles Martin Strom, MD 2939 Calle Gaucho, San Clemente, CA 92673-3053 Ph: (949) 361-8745 | Dr Charles Martin Strom, MD 33608 Ortega Hwy, San Juan Capistrano, CA 92690 Ph: (949) 728-4701 |
Dr. Cristina Carolina Romero De Montero, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30300 Camino Capistrano, San Juan Capistrano, CA 92675 Phone: 949-240-2030 Fax: 949-240-5869 | |
Jon Conti, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 30210 Rancho Viejo Rd Ste A, San Juan Capistrano, CA 92675 Phone: 949-493-1383 Fax: 949-493-1418 | |
Dr. Jon Masao Nakamoto, M.D., PH.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 33608 Ortega Hwy, San Juan Capistrano, CA 92675 Phone: 949-728-4323 Fax: 949-728-4960 | |
Dr. Beverly R Hendrickson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30230 Rancho Viejo Rd, Suite A, San Juan Capistrano, CA 92675 Phone: 949-493-7337 Fax: 949-373-1300 | |
John H Carruth, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30210 Rancho Viejo Rd, Suite A, San Juan Capistrano, CA 92675 Phone: 949-493-7337 Fax: 949-373-1300 | |
Heather Cindric, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30210 Rancho Viejo Rd Ste A, San Juan Capistrano, CA 92675 Phone: 949-493-7337 Fax: 949-493-1418 | |
Lydia A Chapelsky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30210 Rancho Viejo Rd, Suite A, San Juan Capistrano, CA 92675 Phone: 949-493-7337 Fax: 949-373-1300 |