Kelly Amanda Bruno, MD | |
200 W Arbor Dr, San Diego, CA 92103 | |
(800) 926-8273 | |
(888) 539-8781 |
Full Name | Kelly Amanda Bruno |
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Gender | Female |
Speciality | Anesthesiology |
Location | 200 W Arbor Dr, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891130993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 147881 (California) | Primary |
Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356444897 PECOS PAC ID: 3577476761 Enrollment ID: O20040109000444 |
Mailing Address | Practice Location Address |
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Kelly Amanda Bruno, MD Po Box 232410, San Diego, CA 92193-2410 Ph: () - | Kelly Amanda Bruno, MD 200 W Arbor Dr, San Diego, CA 92103 Ph: (800) 926-8273 |
Shawn Raveenth Vedamani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Michael Conrad Weber, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Drive, San Diego, CA 92134 Phone: 619-532-6471 | |
Susanna Byrne, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-6400 | |
Dr. Paige Tsuda, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Thomas J. Pietuch, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3626 Ruffin Rd, San Diego, CA 92123 Phone: 858-565-9666 Fax: 858-565-9441 | |
Dr. Ching-rong Cheng, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Ucsd Medical Center, 200 West Arbor Drive Mc 0801, San Diego, CA 92103 Phone: 619-543-5720 | |
Dr. Jeffrey Koji Sakihara, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3626 Ruffin Rd, San Diego, CA 92123 Phone: 858-565-9666 Fax: 858-565-9441 |