Kyrillos Awad, DO | |
1325 E Church St Ste 202, Santa Maria, CA 93454-5915 | |
(805) 346-3456 | |
(805) 346-3454 |
Full Name | Kyrillos Awad |
---|---|
Gender | Male |
Speciality | Surgery - Surgical Critical Care |
Location | 1325 E Church St Ste 202, Santa Maria, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932563210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | DEA (California) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | 20A20096 (California) | Primary |
Entity Name | Desert Trauma Surgeons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144225426 PECOS PAC ID: 0547366106 Enrollment ID: O20070428000140 |
Mailing Address | Practice Location Address |
---|---|
Kyrillos Awad, DO 1325 E Church St Ste 202, Santa Maria, CA 93454-5915 Ph: (805) 346-3456 | Kyrillos Awad, DO 1325 E Church St Ste 202, Santa Maria, CA 93454-5915 Ph: (805) 346-3456 |
Ray Herman Rivas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 316 S Stratford Ave Ste C, Santa Maria, CA 93454 Phone: 805-348-3700 Fax: 805-348-3730 | |
Thomas Lee Bosshardt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Church St Ste 202, Santa Maria, CA 93454 Phone: 805-346-3456 Fax: 805-346-3454 | |
Han Soo Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Church St, Suite 204, Santa Maria, CA 93454 Phone: 805-346-3456 Fax: 805-347-3457 | |
Dr. Edward Lawrence Felix, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 316 South Stratford Avenue, Suite B, Santa Maria, CA 93454 Phone: 805-332-8446 Fax: 805-332-8173 | |
Dr. Carol Ann Mccloskey, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 316 S Stratford Ave, Suite B, Santa Maria, CA 93454 Phone: 805-332-8446 Fax: 805-332-8173 | |
Joseph Dean Centeno, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 316 S Stratford Ave, Suite C, Santa Maria, CA 93454 Phone: 805-348-3700 Fax: 805-683-3400 | |
Edward Cho, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 316 S Stratford Ave Ste B, Santa Maria, CA 93454 Phone: 805-332-8446 Fax: 805-332-8173 |