Kylie A Fuller, MD | |
250 W Bonita Ave Ste 100, Pomona, CA 91767-1863 | |
(909) 392-2002 | |
(626) 795-4768 |
Full Name | Kylie A Fuller |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 250 W Bonita Ave Ste 100, Pomona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598224875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A187008 (California) | Primary |
Entity Name | Kylie Fuller Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891473872 PECOS PAC ID: 4688028574 Enrollment ID: O20230926003635 |
Mailing Address | Practice Location Address |
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Kylie A Fuller, MD 250 W Bonita Ave Ste 100, Pomona, CA 91767-1863 Ph: (909) 392-2002 | Kylie A Fuller, MD 250 W Bonita Ave Ste 100, Pomona, CA 91767-1863 Ph: (909) 392-2002 |
Vijay Chandrudu Katukota, M.D;F.A.C.O.G Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 1177 N Park Ave, Pomona, CA 91768 Phone: 909-623-9900 Fax: 909-623-1993 | |
Maggie Pham, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 160 E Artesia St Ste 330, Pomona, CA 91767 Phone: 909-622-5654 Fax: 909-622-4914 | |
Maria Siu, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 160 E Artesia St Ste 330, Pomona, CA 91767 Phone: 909-622-5654 | |
Dr. Simmi P. Dhaliwal, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 160 E Artesia St Ste 330, Pomona, CA 91767 Phone: 909-622-5654 Fax: 909-622-4914 | |
Dr. Ju Chul Rhee, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1818 N Orange Grove Ave, #302, Pomona, CA 91767 Phone: 909-623-9671 Fax: 909-469-1475 | |
Francisco Jose Cuellar, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 160 E Artesia St Ste 150, Pomona, CA 91767 Phone: 909-784-2490 Fax: 909-784-2493 | |
Stephanie Cropper, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 160 East Atesia, Pomona, CA 91767 Phone: 909-622-5654 |