Michelle Dominique De Santo, DO | |
1001 S Garfield Ave, Alhambra, CA 91801-4772 | |
(818) 788-4513 | |
Not Available |
Full Name | Michelle Dominique De Santo |
---|---|
Gender | Female |
Speciality | Osteopathic Manipulative Medicine |
Experience | 14 Years |
Location | 1001 S Garfield Ave, Alhambra, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104194299 | NPI | - | NPPES |
20A12005 | Other | CA | OSTEOPATHIC MEDICAL BOARD OF CALIFORNIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 20A12005 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospice By The Bay | Larkspur, CA | Hospice |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Michelle Dominique De Santo, DO 1001 S Garfield Ave, Alhambra, CA 91801-4772 Ph: () - | Michelle Dominique De Santo, DO 1001 S Garfield Ave, Alhambra, CA 91801-4772 Ph: (818) 788-4513 |
Dr. Prasert Basil Vassantachart, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 841 W Valley Blvd, Suite 104, Alhambra, CA 91803 Phone: 626-282-3113 Fax: 626-289-9179 | |
Mr. Winfred John Lee, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 88 E Bay State St, 1-n, Alhambra, CA 91801 Phone: 626-293-1664 | |
Dr. Jonathan Yun-hong Wu, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 55 S Raymond Ave Ste 105, Alhambra, CA 91801 Phone: 626-289-9004 Fax: 626-289-8952 |