Laurel Lackey Branch, MD | |
9350 Campus Point Dr, La Jolla, CA 92037-1300 | |
(800) 926-8273 | |
Not Available |
Full Name | Laurel Lackey Branch |
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Gender | Female |
Speciality | Internal Medicine - Gastroenterology |
Location | 9350 Campus Point Dr, La Jolla, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912437617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 51154 (South Carolina) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | A172755 (California) | Primary |
Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376646869 PECOS PAC ID: 3577476761 Enrollment ID: O20031112000695 |
Mailing Address | Practice Location Address |
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Laurel Lackey Branch, MD File 57326, Los Angeles, CA 90074-0001 Ph: () - | Laurel Lackey Branch, MD 9350 Campus Point Dr, La Jolla, CA 92037-1300 Ph: (800) 926-8273 |
Dr. John Sturdivant Andrews, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1223 Via Barranca, La Jolla, CA 92037 Phone: 858-775-1976 | |
Dr. Mark C Adrian, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, Suite 355, La Jolla, CA 92037 Phone: 858-202-0011 | |
Dr. Erminia M. Guarneri, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-3330 Fax: 858-784-5933 | |
Dr. Eric Hong, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 9834 Genesee Ave, Suite 300, La Jolla, CA 92037 Phone: 858-824-2900 Fax: 858-824-2910 | |
Katrina Deleon, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-6158 | |
Abhishek Gadre, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 858-657-7118 | |
Mira Maria John, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 800-926-8273 |