Linda Washington Fory, MD | |
425 W Central Ave Ste 201, Lompoc, CA 93436-2807 | |
(372) 080-5737 | |
(805) 737-1772 |
Full Name | Linda Washington Fory |
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Gender | Female |
Speciality | Pediatrics |
Location | 425 W Central Ave Ste 201, Lompoc, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073685814 | NPI | - | NPPES |
00A731010 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD60481573 (Washington) | Secondary |
208000000X | Pediatrics | A73101 (California) | Primary |
Entity Name | Community Health Centers Of The Central Coast Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161 |
Mailing Address | Practice Location Address |
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Linda Washington Fory, MD 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8028 | Linda Washington Fory, MD 425 W Central Ave Ste 201, Lompoc, CA 93436-2807 Ph: (372) 080-5737 |
Jakub Cekovsky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1300 W Ocean Ave, Lompoc, CA 93436 Phone: 805-737-1169 Fax: 805-737-1772 | |
Abhishek Mehta, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 1225 N H St, Lompoc, CA 93436 Phone: 805-737-8760 Fax: 805-681-1768 | |
Dr. Cindy Blifeld, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 E Ocean Ave, Ste 6, Lompoc, CA 93436 Phone: 805-736-4970 Fax: 805-736-7592 | |
Dr. Panangattur Nanjappa Ramalingam, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 N R St, Lompoc, CA 93436 Phone: 805-737-6400 Fax: 805-737-6430 | |
Dr. Gowthamy Balakumaran, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 N R St, Lompoc, CA 93436 Phone: 805-737-6400 Fax: 805-737-6430 | |
Karim Ibrahim Mohamed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1225 N H St, Lompoc, CA 93436 Phone: 805-737-8760 Fax: 805-737-8760 |