Sridevi Kesavan Korand, | |
11332 Mountain View Ave Ste C, Loma Linda, CA 92354-3854 | |
(909) 558-6131 | |
Not Available |
Full Name | Sridevi Kesavan Korand |
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Gender | Female |
Speciality | Family Medicine - Addiction Medicine |
Location | 11332 Mountain View Ave Ste C, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700345709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A178658 (California) | Secondary |
207QA0401X | Family Medicine - Addiction Medicine | A178658 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Sridevi Kesavan Korand, 11332 Mountain View Ave Ste C, Loma Linda, CA 92354-3854 Ph: () - | Sridevi Kesavan Korand, 11332 Mountain View Ave Ste C, Loma Linda, CA 92354-3854 Ph: (909) 558-6131 |
Ecler Ercole Jaqua, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Mark S Sutton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Lauren Simon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Barbara Orr, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25455 Barton Rd, Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Victoria V Teppone, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Dr. Prashanth Gowda, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Va Loma Linda Health Care System, 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Roger D. Woodruff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd Ste 206a, Loma Linda, CA 92354 Phone: 909-558-6505 Fax: 909-558-6701 |