Princess Dela Pena, MD | |
165 Saint Dominics Dr Ste 201, Manteca, CA 95337-7802 | |
(209) 823-2345 | |
(209) 239-1154 |
Full Name | Princess Dela Pena |
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Gender | Female |
Speciality | Pediatrics |
Location | 165 Saint Dominics Dr Ste 201, Manteca, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659787877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A149269 (California) | Primary |
Entity Name | Sutter Valley Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Entity Name | First Choice Physician Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480 |
Mailing Address | Practice Location Address |
---|---|
Princess Dela Pena, MD Po Box 255228, Sacramento, CA 95865-5228 Ph: () - | Princess Dela Pena, MD 165 Saint Dominics Dr Ste 201, Manteca, CA 95337-7802 Ph: (209) 823-2345 |
Herleen K Kailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1191 E Yosemite Ave, Suite B, Manteca, CA 95336 Phone: 209-823-8158 Fax: 209-823-6186 | |
Bhavin Doshi, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 250 Northgate Dr, Manteca, CA 95336 Phone: 209-381-7120 Fax: 209-381-7119 | |
Florinda Galang Mallorca, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 Cherry Ln, Suite 111, Manteca, CA 95337 Phone: 209-239-5867 | |
Moosa M Lunat, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1191 E Yosemite Ave, Suite B, Manteca, CA 95336 Phone: 209-823-8158 Fax: 209-823-6186 | |
Felixberto Tejada, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 | |
Dr. Betalina Blanco Bumatay, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 165 Saint Dominics Dr Ste 201, Manteca, CA 95337 Phone: 209-823-2345 | |
Diana F. Enrile, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 |