Dr Derrick Anthony Cleland, DO, MPH | |
11234 Anderson St, Loma Linda, CA 92354-2804 | |
(909) 558-4074 | |
Not Available |
Full Name | Dr Derrick Anthony Cleland |
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Gender | Male |
Speciality | Internal Medicine |
Location | 11234 Anderson St, Loma Linda, 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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1720614712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 21004 (California) | Primary |
Entity Name | County Of Riverside |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
Entity Name | Riverside Faculty Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124032461 PECOS PAC ID: 9436253515 Enrollment ID: O20070329000259 |
Mailing Address | Practice Location Address |
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Dr Derrick Anthony Cleland, DO, MPH 11234 Anderson Street, Suite C, Loma Linda, CA 92354-2804 Ph: (909) 558-4074 | Dr Derrick Anthony Cleland, DO, MPH 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (909) 558-4074 |
Petru Papacostea, Internal Medicine Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Moosa Azadian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4085 | |
Douglas Wang, Internal Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Gme Office Westerly Suite C, Loma Linda, CA 92354 Phone: 909-558-4174 | |
Dr. Lynnetta E Skoretz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11201 Benton Street, #111h, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3280 | |
Shahab Sean Shahangian, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 818-532-8211 | |
Mst Nurjahan Khatun, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson St # C, Loma Linda, CA 92354 Phone: 408-355-8650 | |
Snorri Olafsson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11370 Anderson St, Ste 3150, Loma Linda, CA 92354 Phone: 909-558-2191 |