Larry Warren Foreman, DO | |
1911 Johnson Avenue, San Luis Obispo, CA 93401 | |
(805) 543-5353 | |
Not Available |
Full Name | Larry Warren Foreman |
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Gender | Male |
Speciality | Emergency Medicine - Hospice And Palliative Medicine |
Location | 1911 Johnson Avenue, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669416319 | NPI | - | NPPES |
00AX50550 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20A5055 (California) | Secondary |
207PH0002X | Emergency Medicine - Hospice And Palliative Medicine | 20A5055 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Mailing Address | Practice Location Address |
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Larry Warren Foreman, DO 1945 Corbett Highlands Pl, Arroyo Grande, CA 93420-4933 Ph: (805) 459-8917 | Larry Warren Foreman, DO 1911 Johnson Avenue, San Luis Obispo, CA 93401 Ph: (805) 543-5353 |
Travis Patrick Martin, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1551 Bishop St Ste 210, San Luis Obispo, CA 93401 Phone: 805-329-6262 | |
Paul Eli Christensen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1911 Johnson Avenue, San Luis Obispo, CA 93420 Phone: 805-543-5353 Fax: 805-542-6381 | |
Paul F Georghio, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Murray St, San Luis Obispo, CA 93405 Phone: 805-546-7650 | |
Dr. Kenyon Tsao, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1911 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-542-6621 | |
Dr. Kristopher Lyon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1911 Johnson Ave, French Hospital Emergency Department, San Luis Obispo, CA 93401 Phone: 805-542-6378 | |
Sean Andrews, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-546-7600 | |
Dr. John Everett Garcia, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Grand Ave, California Polytechnic University, San Luis Obispo, CA 93407 Phone: 805-756-5373 Fax: 805-756-5298 |