| Sana Johnson-quijada, M.d., Inc. | |
|
28078 Baxter Rd Suite 228 Murrieta CA 92563-1402 | |
| (951) 514-1234 | |
| (951) 672-3999 |
| Full Name | Sana Johnson-quijada, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 28078 Baxter Rd, Murrieta, California |
| Authorized Official Name and Position | Sana L. Johnson-quijada (OWNER) |
| Authorized Official Contact | 9515141234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sana Johnson-quijada, M.d., Inc. 28078 Baxter Rd Suite 228 Murrieta CA 92563-1402 Ph: (951) 514-1234 | Sana Johnson-quijada, M.d., Inc. 28078 Baxter Rd Suite 228 Murrieta CA 92563-1402 Ph: (951) 514-1234 |
| NPI Number | 1174821912 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 10/22/2011 |
| Medicare PECOS PAC ID | 9537124904 |
|---|---|
| Medicare Enrollment ID | O20041124000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174821912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A70270 (California) | Primary |
| Provider Name | Sana Louise Johnson-quijada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194882860 PECOS PAC ID: 2365348240 Enrollment ID: I20031210001099 |
| Provider Name | Ken Samith Oerding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306379359 PECOS PAC ID: 8123363330 Enrollment ID: I20181217001613 |
| Provider Name | Ravinder Kaur Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194400598 PECOS PAC ID: 1557723079 Enrollment ID: I20230816000940 |
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