Geetanjli Mittal, | |
400 N Pepper Ave, Colton, CA 92324-1801 | |
(909) 580-1000 | |
Not Available |
Full Name | Geetanjli Mittal |
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Gender | Female |
Speciality | Emergency Medicine |
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 |
---|---|---|---|
1992075535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20A12372 (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 |
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Geetanjli Mittal, 400 N Pepper Ave, Colton, CA 92324-1801 Ph: () - | Geetanjli Mittal, 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1000 |
Eugene Lawrence Kwong, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-1400 | |
Gregory M. Fenati, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 858-344-7049 | |
Niluk Leon Senewiratne, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 | |
Dr. Vikram Raj, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 107, Colton, CA 92324 Phone: 909-580-1802 | |
Robert Sexton Kollen, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-1400 | |
Leigh Elizabeth Avera, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 | |
Kenneth Paul Takaki, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-6370 |