Marife Rosanna S Tolentino, MD | |
1001 Sneath Ln, Ste 104, San Bruno, CA 94066-2308 | |
(650) 873-4545 | |
(650) 873-4544 |
Full Name | Marife Rosanna S Tolentino |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1001 Sneath Ln, San Bruno, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013923200 | NPI | - | NPPES |
00A804510 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A80451 (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 |
---|---|
Marife Rosanna S Tolentino, MD 5528 Pacheco Blvd, #a, Pacheco, CA 94553-5154 Ph: (925) 363-8170 | Marife Rosanna S Tolentino, MD 1001 Sneath Ln, Ste 104, San Bruno, CA 94066-2308 Ph: (650) 873-4545 |
Dr. Marie-jeanne N/a Takis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 440 San Mateo Ave, N-5, San Bruno, CA 94066 Phone: 650-588-5456 Fax: 650-588-5456 | |
Maria V Abunto, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Sneath Lane, Ste 104, San Bruno, CA 94066 Phone: 650-873-4545 Fax: 650-873-4544 | |
Maria Luisa Osmena, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1150 El Camino Real Ste 225, San Bruno, CA 94066 Phone: 650-873-3338 Fax: 650-873-3308 |