Mr Diego H Sevilla, PHYSICIAN ASSISTANT | |
436 S Riverside Ave, Rialto, CA 92376-6523 | |
(909) 877-8868 | |
(909) 877-0008 |
Full Name | Mr Diego H Sevilla |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 436 S Riverside Ave, 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 |
---|---|---|---|
1316008972 | NPI | - | NPPES |
GR0083640/GR0083641 | Other | CA | MEDICAL GROUP |
PA13946 | Other | CA | DHS MEDICAL |
ZZZ19972Z /ZZZ20075Z | Other | CA | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA13946 (California) | Primary |
Mailing Address | Practice Location Address |
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Mr Diego H Sevilla, PHYSICIAN ASSISTANT 436 S Riverside Ave, Rialto, CA 92376-6523 Ph: (909) 877-8868 | Mr Diego H Sevilla, PHYSICIAN ASSISTANT 436 S Riverside Ave, Rialto, CA 92376-6523 Ph: (909) 877-8868 |
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 | |
Mickoyan Nakita Poole, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 425 E Foothill Blvd, Rialto, CA 92376 Phone: 909-546-1005 Fax: 909-546-1061 | |
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 |