Frederick L Orr, MD | |
400 N Pepper Ave, Colton, CA 92324-1801 | |
(909) 580-1520 | |
(909) 580-1561 |
Full Name | Frederick L Orr |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 400 N Pepper Ave, Colton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295830321 | NPI | - | NPPES |
G17591 | Other | CA | STATE LICENSE |
00G175910 | Medicaid | CA |
Entity Name | William M Kelly Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316125131 PECOS PAC ID: 5597746628 Enrollment ID: O20040525001738 |
Mailing Address | Practice Location Address |
---|---|
Frederick L Orr, MD Po Box 26060, Fresno, CA 93729-6060 Ph: (559) 455-4000 | Frederick L Orr, MD 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1520 |
Michael D Gentry, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 | |
Dr. James Park, MD Radiology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2178 | |
Chul H Chae, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 | |
Chandler Shyu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Dept Of Radiology, Colton, CA 92324 Phone: 909-580-1520 | |
Sylvia S Ortiz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 | |
Thuan T Dang, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 |