Dr Kyrra Moffatt, DO | |
8881 Fletcher Pkwy, Suite 200, La Mesa, CA 91942-3134 | |
(619) 464-6434 | |
(619) 464-5109 |
Full Name | Dr Kyrra Moffatt |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 8881 Fletcher Pkwy, La Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194922419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 20A10604 (California) | Primary |
Entity Name | Emergency And Acute Care Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
Mailing Address | Practice Location Address |
---|---|
Dr Kyrra Moffatt, DO 8881 Fletcher Pkwy, Suite 200, La Mesa, CA 91942-3134 Ph: (619) 464-6434 | Dr Kyrra Moffatt, DO 8881 Fletcher Pkwy, Suite 200, La Mesa, CA 91942-3134 Ph: (619) 464-6434 |
Lisa Lew Gabhart, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600 | |
Li-wen Jen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600 | |
John M. Goldenring, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600 | |
Sara Susanne Rourke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2701 | |
Kristen Leanne Empie, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109 | |
Paul Michael Imus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109 | |
Dr. Eric John Meyer Reed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2701 |