Wanda Abreu, MD | |
1111 N China Lake Blvd, Ridgecrest, CA 93555-3131 | |
(760) 499-3855 | |
Not Available |
Full Name | Wanda Abreu |
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Gender | Female |
Speciality | Pediatrics |
Location | 1111 N China Lake Blvd, Ridgecrest, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780614693 | NPI | - | NPPES |
GR0095040 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A83687 (California) | Secondary |
208000000X | Pediatrics | 291708 (New York) | Primary |
Entity Name | Trustees Of Columbia University In The City Of New York |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982993184 PECOS PAC ID: 8527972546 Enrollment ID: O20040407001360 |
Entity Name | Trustees Of Columbia University In The City Of New York |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613 |
Mailing Address | Practice Location Address |
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Wanda Abreu, MD 1111 N China Lake Blvd, Ridgecrest, CA 93555-3131 Ph: (760) 499-3855 | Wanda Abreu, MD 1111 N China Lake Blvd, Ridgecrest, CA 93555-3131 Ph: (760) 499-3855 |
Cheryl Esen Zentner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3855 | |
Dr. Marcia A Michalik, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 N China Lake Blvd Ste 190, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870 | |
Richelle Pili Bautista-azores, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1111 N China Lake Blvd Ste 501, Ridgecrest, CA 93555 Phone: 760-499-3846 Fax: 760-499-3832 | |
Katherine Stirk Ferguson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1041 N China Lake Blvd, B, Ridgecrest, CA 93555 Phone: 760-446-6404 Fax: 760-446-6415 | |
Jennifer Prince, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1111 N China Lake Blvd Ste 190, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870 | |
Jixi He, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1111 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-3551 |