Dr Jennifer Josephine D'sa, MD | |
17500 Foothill Blvd, #a-2, Fontana, CA 92335-3798 | |
(909) 428-0170 | |
(877) 778-9312 |
Full Name | Dr Jennifer Josephine D'sa |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 17500 Foothill Blvd, Fontana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750510251 | NPI | - | NPPES |
P01282961/DU4034 | Other | CA | RAILROAD MEDICARE-FONTANA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A122614 (California) | Primary |
Entity Name | Lasalle Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275661084 PECOS PAC ID: 1557301744 Enrollment ID: O20050506000376 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer Josephine D'sa, MD 200 Oceangate, Suite 100, Long Beach, CA 90802-4317 Ph: (909) 428-0170 | Dr Jennifer Josephine D'sa, MD 17500 Foothill Blvd, #a-2, Fontana, CA 92335-3798 Ph: (909) 428-0170 |
Robert M. Theal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Todd A. Westra, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Pushkar Chand, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000 | |
Huy Phan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000 | |
Dr. Yolandie Mccoskey, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9985 Sierra Ave, Fontana, CA 92335 Phone: 909-427-2049 | |
William J. Delo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
John R. Sharpe Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |