| Dr Kevin Wayne Broder, MD | |
|
4510 Executive Drive, Suite 200, San Diego, CA 92121 | |
| (858) 453-7224 | |
| (858) 453-7268 |
| Full Name | Dr Kevin Wayne Broder |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 4510 Executive Drive, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205885902 | NPI | - | NPPES |
| 00A824090 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | A82409 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Wayne Broder, MD 4510 Executive Drive, Suite 200, San Diego, CA 92121 Ph: (858) 453-7224 | Dr Kevin Wayne Broder, MD 4510 Executive Drive, Suite 200, San Diego, CA 92121 Ph: (858) 453-7224 |
Vivian Jiayin Hu, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr # Mc8890, San Diego, CA 92103 Phone: 619-543-5887 | |
Jose De Jesus Rodriguez, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3023 Bunker Hill St Ste 204, San Diego, CA 92109 Phone: 858-483-0690 | |
Dr. Jose E. Otero, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 6367 Alvarado Ct, #104, San Diego, CA 92120 Phone: 619-229-1211 Fax: 619-229-1141 | |
Dr. Jennifer Dolmajian, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Dr. David Michael Kupfer, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3434 Midway Dr, Suite 2004, San Diego, CA 92110 Phone: 619-223-2271 Fax: 619-221-4456 | |
Dr. James J Chao, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, Mail Code 8890, San Diego, CA 92103 Phone: 619-543-2696 | |
Katerina Maria Gallus, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8899 University Center Ln Ste 200, San Diego, CA 92122 Phone: 858-224-2281 Fax: 858-724-3020 |