| Mickoyan Nakita Poole, PA-C | |
|
425 E Foothill Blvd, Rialto, CA 92376-5153 | |
| (909) 546-1005 | |
| (909) 546-1061 |
| Full Name | Mickoyan Nakita Poole |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 425 E Foothill Blvd, Rialto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316201734 | NPI | - | NPPES |
| 1316201734 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15766 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mickoyan Nakita Poole, PA-C 425 E Foothill Blvd, Rialto, CA 92376-5153 Ph: (909) 546-1050 | Mickoyan Nakita Poole, PA-C 425 E Foothill Blvd, Rialto, CA 92376-5153 Ph: (909) 546-1005 |
Jessica St. Jules, PA- C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1036 S Riverside Ave Apt 102, Rialto, CA 92376 Phone: 909-240-8322 | |
Mr. Diego H Sevilla, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 436 S Riverside Ave, Rialto, CA 92376 Phone: 909-877-8868 Fax: 909-877-0008 | |
Grace A Buonavita, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 436 S Riverside Ave, Rialto, CA 92376 Phone: 909-877-8868 Fax: 909-877-0008 | |
Mrs. Wariam Kaur William, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 280 N Riverside Ave, Rialto, CA 92376 Phone: 909-421-2121 Fax: 909-421-0491 | |
Ms. Ira Pauline Santos, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2006 N Riverside Ave Ste B, Rialto, CA 92377 Phone: 909-644-4063 | |
Mrs. Martha Evangeline Colunga, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 280 N Riverside Ave, Rialto, CA 92376 Phone: 909-421-2121 Fax: 909-421-0491 |