Dr Prasanna Bastola, MD | |
1023 E Florida Ave, Hemet, CA 92543-4510 | |
(951) 599-8403 | |
(951) 766-0930 |
Full Name | Dr Prasanna Bastola |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1023 E Florida Ave, Hemet, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831750306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A177433 (California) | Primary |
Entity Name | Clinicas De Salud Del Pueblo Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346313889 PECOS PAC ID: 5496657082 Enrollment ID: O20071201000158 |
Mailing Address | Practice Location Address |
---|---|
Dr Prasanna Bastola, MD 1023 E Florida Ave, Hemet, CA 92543-4510 Ph: (951) 599-8403 | Dr Prasanna Bastola, MD 1023 E Florida Ave, Hemet, CA 92543-4510 Ph: (951) 599-8403 |
Thomas Paul Mohr, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1285 S State St, Hemet, CA 92543 Phone: 951-765-1777 Fax: 951-765-1772 | |
Dr. Sharon Kay Knepfler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1285 S State St, Hemet, CA 92543 Phone: 951-765-1777 Fax: 951-765-1772 | |
Veronica Elizabeth Reinherz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1285 S State St, Hemet, CA 92543 Phone: 951-765-1777 Fax: 951-765-1772 | |
Jennifer Caroline Keith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1285 S State St, Hemet, CA 92543 Phone: 951-765-1777 Fax: 951-765-1772 | |
Vidhyalakshmi Koka, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 422 N San Jacinto St, Hemet, CA 92543 Phone: 941-665-1100 Fax: 888-696-2590 | |
Donna L Hines, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1285 S State St, Hemet, CA 92543 Phone: 951-765-1777 Fax: 866-390-9161 |