Mr Robert Anthony Lugo Iii, DO | |
400 N Pepper Ave, Colton, CA 92324-1801 | |
(909) 580-1369 | |
Not Available |
Full Name | Mr Robert Anthony Lugo Iii |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 400 N Pepper Ave, Colton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619311412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208100000X | Physical Medicine & Rehabilitation | 20A15571 (California) | Primary |
Entity Name | Grandview Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356007819 PECOS PAC ID: 1456742485 Enrollment ID: O20211229001177 |
Mailing Address | Practice Location Address |
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Mr Robert Anthony Lugo Iii, DO 15062 Denley St, Hacienda Heights, CA 91745-2010 Ph: () - | Mr Robert Anthony Lugo Iii, DO 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1369 |
Dr. Filemon Recto Quinio Jr., MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 400 North Pepper Avenue, Colton, CA 92324 Phone: 909-580-1780 Fax: 909-580-1332 | |
Dr. Edward Albert Guarin Balbas, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 900 E Washington St Ste 300, Colton, CA 92324 Phone: 909-333-6094 Fax: 909-824-8234 | |
Jiensup Kim, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 900 E Washington St, Suite 100a, Colton, CA 92324 Phone: 909-370-0300 Fax: 909-370-0303 | |
Dr. Robertus Hasan Kounang, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, 212, Colton, CA 92324 Phone: 909-580-6250 Fax: 909-580-6369 |