Mark Soontornvachrin, | |
780 Shadowridge Dr, Vista, CA 92083-7986 | |
(844) 424-1867 | |
Not Available |
Full Name | Mark Soontornvachrin |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 19 Years |
Location | 780 Shadowridge Dr, Vista, 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 |
---|---|---|---|
1609987585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | A112148 (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 |
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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 |
---|---|
Mark Soontornvachrin, 780 Shadowridge Dr, Vista, CA 92083-7986 Ph: () - | Mark Soontornvachrin, 780 Shadowridge Dr, Vista, CA 92083-7986 Ph: (844) 424-1867 |
Benjamin Hutton Stephens, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2067 W Vista Way Ste 120, Vista, CA 92083 Phone: 760-758-2020 Fax: 760-758-1410 | |
Heather Chen, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2067 W Vista Way Ste 120, Vista, CA 92083 Phone: 760-758-2020 | |
Dr. Bradley William Greider, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2067 West Vista Way, Ste 120, Vista, CA 92083 Phone: 760-758-2020 Fax: 760-758-1410 | |
William Jerrard Dunnigan, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2482 Vista Valley Lane, Vista, CA 92084 Phone: 760-945-5473 | |
Maulik Subhash Zaveri, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2067 W Vista Way Ste 120, Vista, CA 92083 Phone: 760-758-2020 Fax: 760-758-1410 | |
Kelsi Leigh Greider-sideris, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2067 W Vista Way Ste 120, Vista, CA 92083 Phone: 760-758-2020 Fax: 760-758-1410 |