Michelle Dilley Revier, MD | |
9961 Sierra Ave, Fontana, CA 92335-6720 | |
(909) 427-5000 | |
Not Available |
Full Name | Michelle Dilley Revier |
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Gender | Female |
Speciality | Allergy & Immunology - Allergy |
Location | 9961 Sierra Ave, Fontana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1437656915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207KA0200X | Allergy & Immunology - Allergy | A165333 (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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Michelle Dilley Revier, MD 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 Ph: () - | Michelle Dilley Revier, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-5000 |
Sandy Y Jung-wu, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 9985 Sierra Ave, Fontana, CA 92335 Phone: 909-427-6498 | |
Pauline B. Tsai, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Luis F. Saca, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Michael W. Chien, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |