Valeria Edda Madrid Malo Bohorquez, MD | |
2055 Kellogg Ave, Corona, CA 92879-3111 | |
(951) 898-7355 | |
(804) 861-4365 |
Full Name | Valeria Edda Madrid Malo Bohorquez |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 15 Years |
Location | 2055 Kellogg Ave, Corona, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932582541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101264034 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southside Regional Medical Center | Petersburg, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Valeria Edda Madrid Malo Bohorquez, MD 8580 Magellan Pkwy, Richmond, VA 23227-1149 Ph: (804) 733-8821 | Valeria Edda Madrid Malo Bohorquez, MD 2055 Kellogg Ave, Corona, CA 92879-3111 Ph: (951) 898-7355 |
Dr. Imran Hasnain, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1157 W Grand Blvd, Corona, CA 92882 Phone: 951-737-1000 Fax: 951-737-1558 | |
M. Mazen Jamal, M.D., M.P.H. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2097 Compton Ave Ste 103, Corona, CA 92881 Phone: 951-934-0505 Fax: 951-444-7749 | |
Mr. Narakanti Nimmagadda Rao, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 760 S Washburn Ave #7, Corona, CA 92882 Phone: 951-735-2311 Fax: 951-737-1655 | |
Dr. Isaac K Tsai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 341 Magnolia Ave., Suite 205, Corona, CA 92879 Phone: 951-735-4771 Fax: 951-735-3855 | |
Dr. Mutahir Farhan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 284 Dupont St Ste 130, Corona, CA 92879 Phone: 951-497-3749 Fax: 954-405-8701 | |
Mr. Gilbert Oscar Plasencia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2250 S Main St, Suite #201, Corona, CA 92882 Phone: 951-734-4880 Fax: 951-734-7963 | |
Mohammad Khaled Shahin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21634 Retreat Pkwy, Corona, CA 92883 Phone: 951-493-6805 |