Jason A Tomlin, MD | |
11370 Anderson St, Suite 2100, Loma Linda, CA 92354-3450 | |
(909) 558-2822 | |
(909) 558-3905 |
Full Name | Jason A Tomlin |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 11370 Anderson St, 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 |
---|---|---|---|
1093745135 | NPI | - | NPPES |
00A793760 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A79376 (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 |
---|---|
Jason A Tomlin, MD 54701 File Number, Los Angeles, CA 90074-4701 Ph: (909) 558-3111 | Jason A Tomlin, MD 11370 Anderson St, Suite 2100, Loma Linda, CA 92354-3450 Ph: (909) 558-2822 |
Dr. Rex Tong Hyun Chung, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11175 Campus St, Rm 21008, Loma Linda, CA 92350 Phone: 909-558-8131 | |
Sharon S Lum, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 2100, Loma Linda, CA 92354 Phone: 909-558-2822 | |
Dr. Hamza Durrani, M.B.B.S. Surgery Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-651-9863 | |
Laurel Guthrie, Surgery Medicare: Medicare Enrolled Practice Location: 11175 Campus St Ste 21111, Loma Linda, CA 92350 Phone: 909-558-5939 | |
Dr. Richard Lester Yukl, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 24382 Lawton Ave, Loma Linda, CA 92354 Phone: 909-796-6472 Fax: 909-796-6472 | |
Dr. Ryan Anthony Hayton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 |