Mark S Shulman, MD | |
1414 Manera Ventosa, San Clemente, CA 92673-3663 | |
(413) 813-9539 | |
Not Available |
Full Name | Mark S Shulman |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1414 Manera Ventosa, San Clemente, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275520371 | NPI | - | NPPES |
3043118 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G36884 (California) | Primary |
Entity Name | Steward Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043711914 PECOS PAC ID: 2860688728 Enrollment ID: O20180329001196 |
Mailing Address | Practice Location Address |
---|---|
Mark S Shulman, MD 1414 Manera Ventosa, San Clemente, CA 92673-3663 Ph: (413) 813-9539 | Mark S Shulman, MD 1414 Manera Ventosa, San Clemente, CA 92673-3663 Ph: (413) 813-9539 |
Silvia Nicolae, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 629 Camino De Los Mares, Ste 103, San Clemente, CA 92673 Phone: 949-248-1900 | |
Dr. Andres Betts, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 665 Camino De Los Mares, Suite 202, San Clemente, CA 92673 Phone: 949-364-8959 Fax: 949-218-1557 | |
Rex Lee Cheng, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 8 Calle Anacapa, San Clemente, CA 92673 Phone: 562-712-2974 Fax: 310-222-5252 |