| Robert D Henretig, MD | |
|
2180 Johnson Ave, Ste A, San Luis Obispo, CA 93401-4513 | |
| (805) 269-1313 | |
| (805) 269-1387 |
| Full Name | Robert D Henretig |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2180 Johnson Ave, San Luis Obispo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366463879 | NPI | - | NPPES |
| 8131633 | Medicaid | WA | |
| KFHC71031F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G16850 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert D Henretig, MD 150 Tejas Pl, Nipomo, CA 93444-9123 Ph: (805) 929-3211 | Robert D Henretig, MD 2180 Johnson Ave, Ste A, San Luis Obispo, CA 93401-4513 Ph: (805) 269-1313 |
Dr. Gary Martin Hatch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Monterey St, Suite 210, San Luis Obispo, CA 93401 Phone: 805-542-9700 Fax: 805-542-0584 | |
Dr. Archana C Lucchesi, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 6729 Monte Rd, San Luis Obispo, CA 93401 Phone: 858-546-3800 Fax: 858-546-3900 | |
Andy Hoang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Monterey St Ste 210, San Luis Obispo, CA 93401 Phone: 805-542-9700 | |
Dr. Lisa Marie Wieler, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1100 Monterey St, Suite 210, San Luis Obispo, CA 93401 Phone: 805-542-9700 Fax: 805-542-0584 | |
Dr. Jeffrey Kai Wu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Casa St Ste C, San Luis Obispo, CA 93405 Phone: 805-541-1932 Fax: 805-541-1653 | |
Dr. Michael Chervonski, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-546-7600 |