Dr Michael J Malotte, | |
895 Aerovista Pl, 103, San Luis Obispo, CA 93401-8724 | |
(805) 541-2368 | |
Not Available |
Full Name | Dr Michael J Malotte |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 895 Aerovista Pl, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255336129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | G61212 (California) | Primary |
Entity Name | Ear Nose & Throat Specialists, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740372374 PECOS PAC ID: 9234211863 Enrollment ID: O20080204000677 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael J Malotte, 895 Aerovista Pl, 103, San Luis Obispo, CA 93401-8724 Ph: (805) 541-2368 | Dr Michael J Malotte, 895 Aerovista Pl, 103, San Luis Obispo, CA 93401-8724 Ph: (805) 541-2368 |
Dr. William J. Watson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1035 Peach St, Suite 301, San Luis Obispo, CA 93401 Phone: 805-545-5665 Fax: 805-544-6477 | |
Dr. Robert G Stewart, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 895 Aerovista Pl, 103, San Luis Obispo, CA 93401 Phone: 805-541-2368 | |
Dr. Bhavishya Surapaneni Clark, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 35 Casa St Ste 130, San Luis Obispo, CA 93405 Phone: 805-541-1422 Fax: 805-541-1215 | |
David Jackson Levin, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 Casa St Ste B, San Luis Obispo, CA 93405 Phone: 805-439-3250 Fax: 888-359-6565 |