Dr Isaac Laurence Kelly, MD | |
1175 E Arrow Hwy Ste E, Upland, CA 91786 | |
(909) 985-9737 | |
(909) 981-1203 |
Full Name | Dr Isaac Laurence Kelly |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 11 Years |
Location | 1175 E Arrow Hwy Ste E, Upland, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083057525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | A134284 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
San Antonio Regional Hospital | Upland, CA | Hospital |
Pomona Valley Hospital Medical Center | Pomona, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inland Urology Medical Group Inc | 3173568839 | 8 |
Entity Name | Family Healthcare Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164517744 PECOS PAC ID: 6305756339 Enrollment ID: O20040123000681 |
Entity Name | Inland Urology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609809631 PECOS PAC ID: 3173568839 Enrollment ID: O20050622001369 |
Entity Name | San Antonio Urology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497948491 PECOS PAC ID: 7719076017 Enrollment ID: O20071210000601 |
Mailing Address | Practice Location Address |
---|---|
Dr Isaac Laurence Kelly, MD 1175 E Arrow Hwy Ste E, Upland, CA 91786-5525 Ph: (909) 985-9737 | Dr Isaac Laurence Kelly, MD 1175 E Arrow Hwy Ste E, Upland, CA 91786 Ph: (909) 985-9737 |
Dr. Victor Choy Ching, MD Urology Medicare: Medicare Enrolled Practice Location: 1113 Alta Ave Ste E, Upland, CA 91786 Phone: 909-985-9737 Fax: 909-481-1203 | |
Emmanuel J. Mitsinikos, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1100 San Bernardino Road, Suite 1100, Upland, CA 91786 Phone: 909-949-2242 Fax: 909-981-5783 | |
Mr. Christopher K Tsai, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1175 E Arrow Hwy, Suite E, Upland, CA 91786 Phone: 909-985-9737 Fax: 909-981-1203 | |
Deepak V Sheth, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 360 E 7th St, #c, Upland, CA 91786 Phone: 909-920-9800 Fax: 909-931-0515 |