Lori Z Selleck, MD | |
97 San Marin Dr, Novato, CA 94945-1100 | |
(415) 899-7400 | |
Not Available |
Full Name | Lori Z Selleck |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 97 San Marin Dr, Novato, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952485930 | NPI | - | NPPES |
00G661700 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G66170 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Lori Z Selleck, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Lori Z Selleck, MD 97 San Marin Dr, Novato, CA 94945-1100 Ph: (415) 899-7400 |
Dr. Ranjit Singh Hundal, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 Rowland Way, Novato Community Hospital 180 Rowland Way, Novato, CA 94945 Phone: 415-209-1300 | |
Ritu Mukerji-metzger, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 San Marin Dr, Novato, CA 94945 Phone: 415-899-7400 | |
Helen Man-son-hing, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 San Marin Dr, Novato, CA 94945 Phone: 415-899-7400 | |
Donald A. Pierce, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 97 San Marin Dr, Novato, CA 94945 Phone: 415-899-7400 | |
Brian Rodysill, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 Rowland Way Ste 300, Novato, CA 94945 Phone: 415-878-0225 | |
Robert J. Lavaysse, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 97 San Marin Dr, Novato, CA 94945 Phone: 415-899-7400 | |
Dr. Michael Kam-hong Kwok, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 165 Rowland Way, Suite 201, Novato, CA 94945 Phone: 415-897-3174 Fax: 415-892-9589 |