Mrs Raquel L Rissman, MD | |
550 Washington St, Ste 300, San Diego, CA 92103-2227 | |
(619) 297-5437 | |
(619) 243-0722 |
Full Name | Mrs Raquel L Rissman |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 550 Washington St, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700998846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A82394 (California) | Primary |
174400000X | Specialist | A82394 (California) | Secondary |
Entity Name | Sharp Rees-stealy Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996 |
Mailing Address | Practice Location Address |
---|---|
Mrs Raquel L Rissman, MD 550 Washington St, Ste 300, San Diego, CA 92103-2227 Ph: (619) 297-5437 | Mrs Raquel L Rissman, MD 550 Washington St, Ste 300, San Diego, CA 92103-2227 Ph: (619) 297-5437 |
Dr. Crystal Nguyen Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Children's Way, Mc 5008, San Diego, CA 92123 Phone: 858-966-5818 | |
Dr. Katherine N. Nyman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Childrens Way, San Diego, CA 92123 Phone: 858-966-5818 | |
Dr. Peter Hyun-soo Kim, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8695 Spectrum Center Blvd # 4004, San Diego, CA 92123 Phone: 858-499-4416 | |
Dr. Paula Grayson, Pediatrics Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7969 | |
Dr. Adriana Herrera Tremoulet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-7785 | |
Dr. Javier Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105 Phone: 619-255-9154 Fax: 619-795-9847 | |
Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082 |