Mrs Marissa Lyn Brown, MD | |
250 Travelodge Drive, El Cajon, CA 92020 | |
(619) 528-5000 | |
Not Available |
Full Name | Mrs Marissa Lyn Brown |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 250 Travelodge Drive, El Cajon, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457616997 | NPI | - | NPPES |
R73474 | Other | AZ | TRAINING PERMIT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 207ZP0102X (Arizona) | Secondary |
207V00000X | Obstetrics & Gynecology | A142166 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Mrs Marissa Lyn Brown, MD 250 Travelodge Drive, El Cajon, CA 92020 Ph: (619) 528-5000 | Mrs Marissa Lyn Brown, MD 250 Travelodge Drive, El Cajon, CA 92020 Ph: (619) 528-5000 |
Rhett Papa, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 133 W Main St, El Cajon, CA 92020 Phone: 310-990-9908 | |
Dr. Niloufer Siddiqui Dennis, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 330 S Magnolia Ave, Suite 301, El Cajon, CA 92020 Phone: 800-395-9431 Fax: 888-502-8290 | |
Aliya I Khan, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1032 Broadway, Ob-gyn, El Cajon, CA 92021 Phone: 619-795-5991 Fax: 619-795-5992 | |
Mary Loraine Sullivan, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 133 W Main St # 240, El Cajon, CA 92020 Phone: 619-401-0404 | |
Austin M. Kooba, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 330 S Magnolia Ave Ste 301, El Cajon, CA 92020 Phone: 858-353-3945 |