Mark Khrystian Ilagan, DO | |
1717 E Date Pl, San Bernardino, CA 92404-4428 | |
(888) 750-0036 | |
Not Available |
Full Name | Mark Khrystian Ilagan |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 1717 E Date Pl, San Bernardino, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710326749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A14538 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Mark Khrystian Ilagan, DO 1717 E Date Pl, San Bernardino, CA 92404-4428 Ph: (888) 750-0036 | Mark Khrystian Ilagan, DO 1717 E Date Pl, San Bernardino, CA 92404-4428 Ph: (888) 750-0036 |
Robert William Watrous, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 | |
Dr. Jesse R. Devera, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 Fax: 909-890-2081 | |
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