Mr Kulin Tantod, MD | |
10039 Vine St Ste A, Lakeside, CA 92040-3122 | |
(619) 390-9975 | |
Not Available |
Full Name | Mr Kulin Tantod |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 10039 Vine St Ste A, Lakeside, 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 |
---|---|---|---|
1902058928 | NPI | - | NPPES |
W14158 | Other | CA | GROUP PTAN |
FA068Y | Other | CA | INDIVIDUAL PTAN |
ZZZ20041Z | Other | CA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A109655 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Neighborhood Healthcare | 5294649406 | 62 |
Entity Name | Neighborhood Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598703647 PECOS PAC ID: 5294649406 Enrollment ID: O20031112000809 |
Mailing Address | Practice Location Address |
---|---|
Mr Kulin Tantod, MD 425 N Date St, Escondido, CA 92025-3413 Ph: (760) 737-6936 | Mr Kulin Tantod, MD 10039 Vine St Ste A, Lakeside, CA 92040-3122 Ph: (619) 390-9975 |
Dr. Larry J Marshall, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12517 Lakeshore Dr, Lakeside, CA 92040 Phone: 619-443-3843 Fax: 619-390-1810 | |
Dr. Victor Manuel Mendoza-fernandez, Family Medicine Medicare: Medicare Enrolled Practice Location: 12517 Lakeshore Dr, Lakeside, CA 92040 Phone: 619-443-3843 Fax: 619-390-1810 | |
Elizabeth Mannino, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10039 Vine St, Lakeside, CA 92040 Phone: 619-390-9975 Fax: 619-390-8721 | |
Dr. Robert Johnson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12501 Del Sol Rd, Lakeside, CA 92040 Phone: 619-443-2967 |