Lisa Ditomaso, DO | |
444 Bruce St, Yreka, CA 96097-3450 | |
(530) 841-6292 | |
Not Available |
Full Name | Lisa Ditomaso |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 444 Bruce St, Yreka, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750843397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20A19666 (California) | Primary |
Entity Name | Siskiyou Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093892275 PECOS PAC ID: 1254223134 Enrollment ID: O20040927000311 |
Mailing Address | Practice Location Address |
---|---|
Lisa Ditomaso, DO 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 Ph: () - | Lisa Ditomaso, DO 444 Bruce St, Yreka, CA 96097-3450 Ph: (530) 841-6292 |
Peter A. Beoris, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 475 Bruce St, Yreka, CA 96097 Phone: 530-842-3507 | |
Dr. Mathilde Moazazi, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 444 Bruce St, Yreka, CA 96097 Phone: 530-841-6250 | |
Qazi M Mohsin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 444 Bruce St, Yreka, CA 96097 Phone: 530-842-4121 | |
Dr. John Tribble, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 444 Bruce St, Yreka, CA 96097 Phone: 530-841-6250 |