Umron Alkotob, DO | |
26520 Cactus Ave Ste 201, Moreno Valley, CA 92555-3927 | |
(951) 486-5908 | |
(951) 486-5910 |
Full Name | Umron Alkotob |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 26520 Cactus Ave Ste 201, Moreno Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215519822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20499 (California) | Secondary |
207P00000X | Emergency Medicine | PTL1964 (California) | Primary |
Entity Name | Knd Development 59 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740519081 PECOS PAC ID: 3678602802 Enrollment ID: O20100724000249 |
Mailing Address | Practice Location Address |
---|---|
Umron Alkotob, DO 26520 Cactus Ave Ste 201, Moreno Valley, CA 92555-3927 Ph: (951) 486-5908 | Umron Alkotob, DO 26520 Cactus Ave Ste 201, Moreno Valley, CA 92555-3927 Ph: (951) 486-5908 |
Rolando D Sy, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 909-486-5650 | |
John Cortelyou Naftel, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 909-486-5650 | |
Nikolaos Sarantopoulos, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Matthew B Underwood, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 909-486-5650 | |
Robin Fisher, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 27300 Iris Ave, Moreno Valley, CA 92555 Phone: 330-493-4443 | |
Victor David Levine, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5650 |