Marietya Ivoune Setiawati Lauw, MD | |
4002 Vista Way, Oceanside, CA 92056-4506 | |
(760) 940-7921 | |
Not Available |
Full Name | Marietya Ivoune Setiawati Lauw |
---|---|
Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 4002 Vista Way, Oceanside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225560477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZH0000X | Pathology - Hematology | A163715 (California) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A163715 (California) | Primary |
Entity Name | North Coast Pathology Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033123377 PECOS PAC ID: 0840190401 Enrollment ID: O20040109001144 |
Mailing Address | Practice Location Address |
---|---|
Marietya Ivoune Setiawati Lauw, MD 12622 Torrey Bluff Dr Apt 337, San Diego, CA 92130-4202 Ph: (858) 260-9206 | Marietya Ivoune Setiawati Lauw, MD 4002 Vista Way, Oceanside, CA 92056-4506 Ph: (760) 940-7921 |
Marcus Contardo, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 4002 Vista Way, Oceanside, CA 92056 Phone: 760-634-3230 Fax: 760-940-7934 | |
Bonnie Ruth Bobzien, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 4002 Vista Way, Oceanside, CA 92056 Phone: 760-634-3230 Fax: 760-940-7934 | |
Gabriella Cardoza-favarato, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4002 Vista Way, Oceanside, CA 92056 Phone: 760-634-3230 Fax: 858-794-4061 | |
Daniel Ward, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 4002 Vista Way, Oceanside, CA 92056 Phone: 760-940-7921 Fax: 760-940-7934 | |
Victor W. Lee, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 501 N Pacific St Unit 1, Oceanside, CA 92054 Phone: 714-872-3436 | |
Dr. Amar R Jariwala, MD MSPH Pathology Medicare: Not Enrolled in Medicare Practice Location: 4002 Vista Way, Oceanside, CA 92056 Phone: 760-724-8411 |