Kerby Oberg, MD | |
11234 Anderson St, Loma Linda, CA 92354-2804 | |
(909) 558-6422 | |
Not Available |
Full Name | Kerby Oberg |
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Gender | Male |
Speciality | Pathology - Clinical Pathology/laboratory Medicine |
Location | 11234 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 |
---|---|---|---|
1619081718 | NPI | - | NPPES |
00G765100 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | G76540 (California) | Primary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Entity Name | Loma Linda University Pathology Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457398505 PECOS PAC ID: 1355234972 Enrollment ID: O20040301000597 |
Mailing Address | Practice Location Address |
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Kerby Oberg, MD Po Box 1740, Loma Linda, CA 92354-0240 Ph: (909) 558-6422 | Kerby Oberg, MD 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (909) 558-6422 |
James M Pappas, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 11370 Anderson St Ste 2890, Loma Linda, CA 92354 Phone: 909-558-2304 | |
Mia Nepomuceno-perez, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 2960, Loma Linda, CA 92354 Phone: 909-558-6422 | |
Yan Chen Wongworawat, MD, PHD Pathology Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda University Health-pathology, Loma Linda, CA 92354 Phone: 909-558-4094 | |
Wilson Chick, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 2960, Loma Linda, CA 92354 Phone: 909-558-6422 | |
Mrs. Laura Jean Denham, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St Ste 2516, Loma Linda, CA 92354 Phone: 909-558-4094 Fax: 909-793-2931 | |
Ravi K Raghavan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 2960, Loma Linda, CA 92354 Phone: 909-558-6422 | |
Pamela J Wat, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 2960, Loma Linda, CA 92354 Phone: 909-558-6422 |