Dr Kristy Lynn Tolly, MD | |
17822 Beach Blvd, Suite 278, Huntington Beach, CA 92647-7101 | |
(714) 842-1441 | |
(714) 843-0394 |
Full Name | Dr Kristy Lynn Tolly |
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Gender | Female |
Speciality | Pediatrics |
Location | 17822 Beach Blvd, Huntington Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578591426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A67500 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | Hoag Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936 |
Mailing Address | Practice Location Address |
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Dr Kristy Lynn Tolly, MD 17822 Beach Blvd, Suite 278, Huntington Beach, CA 92647-7101 Ph: (714) 842-1441 | Dr Kristy Lynn Tolly, MD 17822 Beach Blvd, Suite 278, Huntington Beach, CA 92647-7101 Ph: (714) 842-1441 |
Dr. Ann Ha, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17742 Beach Blvd Ste 360, Huntington Beach, CA 92647 Phone: 714-848-0868 Fax: 714-848-2248 | |
Rozita Pouroushasb, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 17742 Beach Blvd, Suite 360, Huntington Beach, CA 92647 Phone: 714-848-0868 Fax: 714-848-2248 | |
Dr. Kathleen S Lynch, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6151 Foxshield Dr, Huntington Beach, CA 92647 Phone: 714-848-3046 | |
Dr. Mohan Priyakantha Kumaratne, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17692 Beach Blvd, Ste. 200, Huntington Beach, CA 92647 Phone: 714-847-6975 Fax: 714-847-9727 | |
Melanie Tioleco-cheng, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18685 Main St Ste 101 Pmb 195, Huntington Beach, CA 92648 Phone: 714-964-3560 | |
Jerome H. Jones, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19066 Magnolia St., Huntington Beach, CA 92646 Phone: 714-968-0068 Fax: 714-378-2188 | |
Dr. Emily Edwards, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 17762 Beach Blvd Ste 220, Huntington Beach, CA 92647 Phone: 714-848-0080 Fax: 714-665-4679 |