Dr Herbert Del Rosario Icasiano, DO | |
3751 Katella Ave, Los Alamitos, CA 90720-3113 | |
(562) 598-1311 | |
Not Available |
Full Name | Dr Herbert Del Rosario Icasiano |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 3751 Katella Ave, Los Alamitos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740772383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OS020260 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | 19631 (California) | Primary |
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 | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Mailing Address | Practice Location Address |
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Dr Herbert Del Rosario Icasiano, DO 219 N Main Ave Unit 140, Scranton, PA 18504-3307 Ph: (213) 293-7053 | Dr Herbert Del Rosario Icasiano, DO 3751 Katella Ave, Los Alamitos, CA 90720-3113 Ph: (562) 598-1311 |
Dr. Natalie Tse-lan Shum, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-598-1311 | |
Dr. Michael W. Perlman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-598-2411 | |
Geoffrey Paul Delaurier, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3751 Katella Ave Dept Of, Los Alamitos, CA 90720 Phone: 562-598-2411 | |
Dr. Gregory W. Moreno, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-598-1311 | |
Dr. Charles J Rennie, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-598-1311 | |
Dr. George P Bozeman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-598-1311 | |
Dr. Christian W Zimmermann, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-598-1311 |