Dr Gisella Laverne Sandy, MD | |
26520 Cactus Ave, Moreno Valley, CA 92555-3927 | |
(951) 486-4175 | |
Not Available |
Full Name | Dr Gisella Laverne Sandy |
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Gender | Female |
Speciality | Surgery |
Location | 26520 Cactus Ave, Moreno Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659310860 | NPI | - | NPPES |
00A706970 | Medicaid | CA | |
58021736 | Medicaid | CO | |
00A706970 | Other | CA | BLUE SHIELD OF CALIFORNIA |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Kern County Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376623538 PECOS PAC ID: 4688964521 Enrollment ID: O20160915002690 |
Mailing Address | Practice Location Address |
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Dr Gisella Laverne Sandy, MD Po Box 287, Riverside, CA 92502-0287 Ph: (951) 486-4175 | Dr Gisella Laverne Sandy, MD 26520 Cactus Ave, Moreno Valley, CA 92555-3927 Ph: (951) 486-4175 |
Dr. Chinwe Sonia Kpaduwa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Lung-ching Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Dr. Paul T Albini, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-468-4175 | |
Joe Luis Pantoja, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 27200 Iris Ave # Mob2, Moreno Valley, CA 92555 Phone: 951-897-5671 | |
Dr. Nathaniel Stanley Fung, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5177 | |
Anjali Mehta, MD Surgery Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Sean Kirby Degmetich, STUDENT Surgery Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4397 |