George S Kienle, DO | |
1555 Higuera St, San Luis Obispo, CA 93401-2917 | |
(805) 543-4043 | |
(805) 543-4427 |
Full Name | George S Kienle |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1555 Higuera St, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154406718 | NPI | - | NPPES |
7588391 | Other | CIGNA HEALTH CARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A8454 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
George S Kienle, DO 1555 Higuera St, San Luis Obispo, CA 93401-2917 Ph: (805) 543-4043 | George S Kienle, DO 1555 Higuera St, San Luis Obispo, CA 93401-2917 Ph: (805) 543-4043 |
Michael Angelo Viggianelli, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Hwy 1 California Mens Colony, San Luis Obispo, CA 93409 Phone: 805-547-7911 | |
Jacqueline Nicole Mariano Gallardo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 892 Aerovista Pl Ste 210, San Luis Obispo, CA 93401 Phone: 805-549-8023 Fax: 805-549-8252 | |
Lisa Brazil, C.F.N.P. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Casa St Ste 320, San Luis Obispo, CA 93405 Phone: 805-250-4844 Fax: 057-850-3568 | |
Rodolfo Castillo-ruiz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1551 Bishop St, 160, San Luis Obispo, CA 93401 Phone: 805-269-1500 Fax: 805-269-1585 | |
Dr. Jonathan Stanley Hamrick, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 47 Santa Rosa St, 47 Santa Rosa, San Luis Obispo, CA 93405 Phone: 805-542-9956 Fax: 805-594-1436 | |
Dr. Richard V Ascoli, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Grand Ave, San Luis Obispo, CA 93407 Phone: 805-756-1211 Fax: 805-756-5298 |