Dr Mariclem Palado Lao, MD | |
1700 North Waterman Avenue, San Bernardino, CA 92404-5105 | |
(909) 883-8611 | |
(909) 886-1798 |
Full Name | Dr Mariclem Palado Lao |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1700 North Waterman Avenue, San Bernardino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487624169 | NPI | - | NPPES |
00A536530 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A53653 (California) | Primary |
Entity Name | Redlands Family Practice Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942482021 PECOS PAC ID: 7214249127 Enrollment ID: O20150707001603 |
Mailing Address | Practice Location Address |
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Dr Mariclem Palado Lao, MD 1700 North Waterman Avenue, San Bernardino, CA 92404-5105 Ph: (909) 883-8611 | Dr Mariclem Palado Lao, MD 1700 North Waterman Avenue, San Bernardino, CA 92404-5105 Ph: (909) 883-8611 |
Robert William Watrous, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 | |
Dr. Jesse R. Devera, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 Fax: 909-890-2081 | |
Dr. Donna Ruth Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 North Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8611 Fax: 909-886-1798 | |
Dr. Kelsey Louaine Cherepuschak, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 | |
Sachin Kumar Chatta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 742 W Highland Ave, San Bernardino, CA 92405 Phone: 909-881-7320 Fax: 909-881-7330 | |
Dr. Uzair Siddiqui, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 665 N D St, San Bernardino, CA 92401 Phone: 909-708-8158 | |
Hugo A. Leon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 Fax: 909-382-7101 |