Dr Mario S Ficarola, MD | |
21634 Retreat Pkwy, Corona, CA 92883-6100 | |
(951) 493-6926 | |
Not Available |
Full Name | Dr Mario S Ficarola |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 21634 Retreat Pkwy, Corona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104939529 | NPI | - | NPPES |
1689633125 | Other | CA | GROUP NPI |
W1779 | Other | CA | GROUP ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G38399 (California) | Primary |
Entity Name | Riverside Medical Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720183403 PECOS PAC ID: 2961492327 Enrollment ID: O20040517000880 |
Entity Name | Tustin Irvine Internal Medicine Group Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689633125 PECOS PAC ID: 9830134857 Enrollment ID: O20050621000648 |
Mailing Address | Practice Location Address |
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Dr Mario S Ficarola, MD 21634 Retreat Pkwy, Corona, CA 92883-6100 Ph: (951) 493-6926 | Dr Mario S Ficarola, MD 21634 Retreat Pkwy, Corona, CA 92883-6100 Ph: (951) 493-6926 |
Dr. Imran Hasnain, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1157 W Grand Blvd, Corona, CA 92882 Phone: 951-737-1000 Fax: 951-737-1558 | |
M. Mazen Jamal, M.D., M.P.H. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2097 Compton Ave Ste 103, Corona, CA 92881 Phone: 951-934-0505 Fax: 951-444-7749 | |
Mr. Narakanti Nimmagadda Rao, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 760 S Washburn Ave #7, Corona, CA 92882 Phone: 951-735-2311 Fax: 951-737-1655 | |
Dr. Isaac K Tsai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 341 Magnolia Ave., Suite 205, Corona, CA 92879 Phone: 951-735-4771 Fax: 951-735-3855 | |
Dr. Mutahir Farhan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 284 Dupont St Ste 130, Corona, CA 92879 Phone: 951-497-3749 Fax: 954-405-8701 | |
Mr. Gilbert Oscar Plasencia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2250 S Main St, Suite #201, Corona, CA 92882 Phone: 951-734-4880 Fax: 951-734-7963 | |
Mohammad Khaled Shahin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21634 Retreat Pkwy, Corona, CA 92883 Phone: 951-493-6805 |