Dr Ricardo A Indacochea, MD | |
1400 E Palomar St, Chula Vista, CA 91913-1800 | |
(858) 499-2600 | |
Not Available |
Full Name | Dr Ricardo A Indacochea |
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Gender | Male |
Speciality | Pediatrics |
Location | 1400 E Palomar St, Chula Vista, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033375563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A110199 (California) | Primary |
207R00000X | Internal Medicine | A110199 (California) | Secondary |
Entity Name | Sharp Rees-stealy Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996 |
Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
Mailing Address | Practice Location Address |
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Dr Ricardo A Indacochea, MD 1400 E Palomar St, Chula Vista, CA 91913-1800 Ph: (858) 499-2600 | Dr Ricardo A Indacochea, MD 1400 E Palomar St, Chula Vista, CA 91913-1800 Ph: (858) 499-2600 |
Marvin Leon Gale, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 280 E Street, Chula Vista, CA 91910 Phone: 619-425-3951 | |
Mrs. Roxane M. Santiago, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 865 3rd Ave, Suite 101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-2337 | |
Ernest Flores, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 865 3rd Ave Ste 101, Chula Vista, CA 91911 Phone: 619-426-7910 | |
Jonas Ludivero Bernal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 644 Naples St, Chula Vista, CA 91911 Phone: 619-744-5355 | |
Dr. Miguel A Cordoba, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 865 3rd Ave, 101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-4953 | |
Dr. Azar Hamedaninia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 865 3rd Ave, #101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-4953 |