Scott Charles Lederhaus, MD | |
255 E Bonita Ave, Building #9, Pomona, CA 91767-1923 | |
(909) 450-0369 | |
(909) 450-0366 |
Full Name | Scott Charles Lederhaus |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 255 E Bonita Ave, Pomona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427034560 | NPI | - | NPPES |
GR0099730 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | G44897 (California) | Primary |
Entity Name | Scott C Lederhaus Md & Lew B Disney Md Prt Lederhaus Scott C Gen Ptr |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871646679 PECOS PAC ID: 2961445267 Enrollment ID: O20050607001418 |
Mailing Address | Practice Location Address |
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Scott Charles Lederhaus, MD 255 E Bonita Ave, Building #9, Pomona, CA 91767-1923 Ph: (909) 450-0369 | Scott Charles Lederhaus, MD 255 E Bonita Ave, Building #9, Pomona, CA 91767-1923 Ph: (909) 450-0369 |
Dr. Sharyn D. Brekhus, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 160 E Artesia St, Suite 220, Pomona, CA 91767 Phone: 909-865-1020 Fax: 909-865-1202 | |
Dr. Aaron R. Cutler, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 255 E. Bonita Ave., Building #9, Pomona, CA 91767 Phone: 909-450-0369 | |
Lew Bradley Disney, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 255 E Bonita Ave, Building #9, Pomona, CA 91767 Phone: 909-450-0369 Fax: 909-450-0366 | |
Dr. Benjamin Zachary Ball, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 255 E Bonita Ave Bldg 9, Pomona, CA 91767 Phone: 099-450-0369 Fax: 909-450-0366 | |
Jose Luis Rodriguez, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 255 E Bonita Ave, Building #9, Pomona, CA 91767 Phone: 909-450-0369 Fax: 909-450-0366 | |
Dr. Yvette Denise Marquez, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 E Artesia St, Suite 220, Pomona, CA 91767 Phone: 909-865-1020 Fax: 909-865-1202 |