Dr Marcelino Dellopac Latina, DO | |
13193 Central Ave, Suite 100, Chino, CA 91710-4179 | |
(909) 464-9675 | |
Not Available |
Full Name | Dr Marcelino Dellopac Latina |
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Gender | Male |
Speciality | Pediatrics |
Location | 13193 Central Ave, Chino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1073869392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 20A14151 (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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Dr Marcelino Dellopac Latina, DO 9089 Baseline Rd, Rancho Cucamonga, CA 91730-1295 Ph: () - | Dr Marcelino Dellopac Latina, DO 13193 Central Ave, Suite 100, Chino, CA 91710-4179 Ph: (909) 464-9675 |
Christopher J. Horan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11911 Central Ave, Chino, CA 91710 Phone: 909-631-2442 | |
Mrs. Carolyne Tan Lim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12598 Central Ave, Suite A, Chino, CA 91710 Phone: 909-364-1234 Fax: 909-364-1227 | |
Harsha P Sheth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13768 Roswell Ave, Suite 115, Chino, CA 91710 Phone: 909-364-0600 Fax: 909-364-1126 | |
Dr. Raimel Yturralde Perez-pasiliao, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12574 Central Ave, Chino, CA 91710 Phone: 909-627-7433 Fax: 562-365-3532 | |
Sarasa Kumar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13768 Roswell Ave, Suite 205, Chino, CA 91710 Phone: 909-590-7356 Fax: 909-548-6871 |