Dr Paulus L Santoso, MD | |
6969 Brockton Ave, Ste. A-b, Riverside, CA 92506-3809 | |
(951) 530-8989 | |
(951) 530-8877 |
Full Name | Dr Paulus L Santoso |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 26 Years |
Location | 6969 Brockton Ave, Riverside, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154329373 | NPI | - | NPPES |
00A854780 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A85478 (California) | Secondary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | A85478 (California) | Primary |
Entity Name | Paulus Santoso Md A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093042970 PECOS PAC ID: 6406995893 Enrollment ID: O20091124000370 |
Entity Name | Obhg California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 |
Mailing Address | Practice Location Address |
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Dr Paulus L Santoso, MD 6969 Brockton Ave, Ste. A-b, Riverside, CA 92506-3809 Ph: (951) 530-8989 | Dr Paulus L Santoso, MD 6969 Brockton Ave, Ste. A-b, Riverside, CA 92506-3809 Ph: (951) 530-8989 |
Edward Anthony Matuga, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5500 Fax: 951-697-5508 | |
Dr. Walter M Marcus, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8945 Magnolia Ave, #202, Riverside, CA 92503 Phone: 951-687-8945 Fax: 951-687-1042 | |
Dr. Diane Connelly, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Rmc-3, Rm. 3207, Riverside, CA 92505 Phone: 951-353-4912 Fax: 951-353-5838 | |
Richard Timothy Chen, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Department Of Ob-gyn, Riverside, CA 92505 Phone: 503-757-1195 | |
Dr. Nayeema Ahmed, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3975 Jackson St, Ste. #110, Riverside, CA 92503 Phone: 951-351-1071 Fax: 951-351-1207 | |
Bilal Rafic Kaaki, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6926 Brockton Ave Ste 4, Riverside, CA 92506 Phone: 844-400-2236 Fax: 951-382-4111 | |
Sudha Moola, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3975 Jackson St, Suite #208, Riverside, CA 92503 Phone: 951-732-7834 Fax: 951-352-7758 |