Earl Quijada, MD | |
11406 Loma Linda Dr, Suite 300, Loma Linda, CA 92354-3711 | |
(909) 558-6277 | |
Not Available |
Full Name | Earl Quijada |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 11406 Loma Linda Dr, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497784078 | NPI | - | NPPES |
00A609970 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | A60997 (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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Earl Quijada, MD 54701 File Number, Los Angeles, CA 90074-0001 Ph: (909) 558-3111 | Earl Quijada, MD 11406 Loma Linda Dr, Suite 300, Loma Linda, CA 92354-3711 Ph: (909) 558-6277 |
Roya Vahdatinia, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 11234 Anderson St Ste C, Loma Linda, CA 92354 Phone: 909-558-6202 | |
Scott Strum, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11406 Loma Linda Dr, Ste 300, Loma Linda, CA 92354 Phone: 909-558-6277 | |
Brian Chau, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton Street, Department Of Pm&r (mail Code 117), Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Yvette Adrienne Holness, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-422-3086 | |
Diep Vuong, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 11406 Loma Linda Dr Ste 516, Loma Linda, CA 92354 Phone: 909-558-6204 | |
Davin Yah-ming Chu, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 11406 Loma Linda Dr, Suite 516, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Justin Hata, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11406 Loma Linda Dr # 300, Loma Linda, CA 92354 Phone: 909-558-6277 Fax: 909-558-6278 |