Sujan K Sandhu, MD | |
2067 W Vista Way, Suite 180, Vista, CA 92083-6031 | |
(760) 945-3434 | |
(760) 945-6761 |
Full Name | Sujan K Sandhu |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2067 W Vista Way, Vista, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649579384 | NPI | - | NPPES |
00A110410 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A110410 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Sujan K Sandhu, MD 2067 W Vista Way, Suite 180, Vista, CA 92083-6031 Ph: (760) 945-3434 | Sujan K Sandhu, MD 2067 W Vista Way, Suite 180, Vista, CA 92083-6031 Ph: (760) 945-3434 |
Michael D Krak, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way Ste 280, Vista, CA 92083 Phone: 760-941-3630 Fax: 760-941-1214 | |
Lynette M Asselin, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way Ste 280, Vista, CA 92083 Phone: 760-941-3630 Fax: 760-941-1214 | |
Nassrin Rahimi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3892 | |
Dr. Robert E Fredricks, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713 | |
Dr. Veronica L Naudin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way, Suite 180, Vista, CA 92083 Phone: 760-945-3434 Fax: 760-945-6761 | |
Yves B. Terrazas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 | |
Dr. Valerie Marie Michelotti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 |