Dr Rajeev Shantilal Gala, MD | |
2055 Kellogg Ave, Corona, CA 92879-3111 | |
(951) 898-7381 | |
Not Available |
Full Name | Dr Rajeev Shantilal Gala |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 2055 Kellogg Ave, 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 |
---|---|---|---|
1205882511 | NPI | - | NPPES |
11669 | Other | NV | NEVADA LICENSE |
CS12397 | Other | NV | PHARMACY LICENSE |
100500484 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 11669 (Nevada) | Secondary |
207V00000X | Obstetrics & Gynecology | A94959 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Dr Rajeev Shantilal Gala, MD 2055 Kellogg Ave, Corona, CA 92879-3111 Ph: () - | Dr Rajeev Shantilal Gala, MD 2055 Kellogg Ave, Corona, CA 92879-3111 Ph: (951) 898-7381 |
Dr. Maureen N. Muoneke, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 341 Magnolia Ave Ste 201, Corona, CA 92879 Phone: 951-735-6969 Fax: 951-735-8560 | |
Toral Trivedi Mehta, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 818 Magnolia Ave Ste 102, Corona, CA 92879 Phone: 951-352-3577 | |
Dr. Lawrence Koning, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 341 Magnolia Ave, Suite 202, Corona, CA 92879 Phone: 951-371-0844 Fax: 951-371-4022 | |
Kimberly Tustison, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21634 Retreat Pkwy, Corona, CA 92883 Phone: 951-493-6935 | |
Dr. Leita J Harris, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1810 Fullerton Ave, Ste 203, Corona, CA 92881 Phone: 844-845-8737 Fax: 855-300-6748 | |
Dr. Thomas John Cachur Jr., D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 900 S Main St, Suite 209, Corona, CA 92882 Phone: 951-735-6969 Fax: 951-343-3483 |