Dr Rachel Ann Ireland, MD | |
4004 Beyer Blvd, San Ysidro, CA 92173-2007 | |
(619) 428-4463 | |
(619) 428-2625 |
Full Name | Dr Rachel Ann Ireland |
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Gender | Female |
Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
Location | 4004 Beyer Blvd, San Ysidro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144233644 | NPI | - | NPPES |
FHC18880F | Other | MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A84012 (California) | Secondary |
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | A84012 (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: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Dr Rachel Ann Ireland, MD 4004 Beyer Blvd, San Ysidro, CA 92173-2007 Ph: (619) 428-4463 | Dr Rachel Ann Ireland, MD 4004 Beyer Blvd, San Ysidro, CA 92173-2007 Ph: (619) 428-4463 |
Hasmukh L. Sheth, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Aldo E Rodriguez, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Dr. Andrea M Herman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-428-4463 Fax: 619-428-2625 | |
Andres Alonso Gomez Garza, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4050 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Dr. Timothy D Sahms, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-428-4463 Fax: 619-428-2625 | |
Tina Shahidyazdani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-428-7952 |