Karyl L Andolina, MD | |
10725 International Dr, Rancho Cordova, CA 95670-7967 | |
(916) 631-3000 | |
Not Available |
Full Name | Karyl L Andolina |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 10725 International Dr, Rancho Cordova, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669550380 | NPI | - | NPPES |
00A714840 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A71484 (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 |
---|---|
Karyl L Andolina, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Karyl L Andolina, MD 10725 International Dr, Rancho Cordova, CA 95670-7967 Ph: (916) 631-3000 |
Susan L. M. Macmillan, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10725 International Dr, Rancho Cordova, CA 95670 Phone: 916-631-3000 | |
Anne K. Lahue, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10725 International Dr, Rancho Cordova, CA 95670 Phone: 916-631-3000 | |
Jacalyn D. Mckay, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10725 International Dr, Rancho Cordova, CA 95670 Phone: 916-631-3000 | |
Penny Lee Larson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 12646 Thornberg Way, Rancho Cordova, CA 95742 Phone: 916-238-6070 Fax: 916-238-6070 | |
John O Womach, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1995 Zinfandel Dr Ste 204, Rancho Cordova, CA 95670 Phone: 916-638-1995 Fax: 916-638-2514 |