Mario Khong, DNP | |
1900 Clementine St, Redlands, CA 92374-1615 | |
(714) 589-4507 | |
Not Available |
Full Name | Mario Khong |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1900 Clementine St, Redlands, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629759857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95076500 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95002186 (California) | Primary |
Entity Name | Amsurg Arcadia Anesthesia Lp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114291226 PECOS PAC ID: 7214199850 Enrollment ID: O20120427000249 |
Entity Name | Credence Anesthesia Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881381002 PECOS PAC ID: 9133586639 Enrollment ID: O20230526001011 |
Mailing Address | Practice Location Address |
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Mario Khong, DNP 1900 Clementine St, Redlands, CA 92374-1615 Ph: (714) 589-4507 | Mario Khong, DNP 1900 Clementine St, Redlands, CA 92374-1615 Ph: (714) 589-4507 |
Mr. Craig James Turner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 121 Lakeside Ave, Redlands, CA 92373 Phone: 909-289-3255 | |
Nazaret Tomassian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 607 Nottingham Dr, Redlands, CA 92373 Phone: 951-850-3444 | |
Mrs. Brittany Stokes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 97 Tennessee St, Apt. D, Redlands, CA 92373 Phone: 423-871-3111 | |
Ambawalage Sanduni Madushani Silva, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 26000 W Lugonia Ave Apt 1203, Redlands, CA 92374 Phone: 248-991-7737 | |
Kristin Holmes Bairos, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 429 Marilyn Ln, Redlands, CA 92373 Phone: 310-721-7010 | |
Mr. William Leroy Sabatini, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 647 E Palm Ave, Redlands, CA 92374 Phone: 561-703-1003 | |
Brittany Pechinko, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10408 Industrial Cir, Redlands, CA 92374 Phone: 615-620-2320 |