| Mr Kenrick Carlyle Bourne, PA-C | |
|
1695 S San Jacinto Ave Ste C, San Jacinto, CA 92583-5103 | |
| (951) 330-3100 | |
| (951) 380-8596 |
| Full Name | Mr Kenrick Carlyle Bourne |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1695 S San Jacinto Ave Ste C, San Jacinto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063690931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA12018 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenrick Carlyle Bourne, PA-C 1695 S San Jacinto Ave, San Jacinto, CA 92583-5103 Ph: (951) 330-3100 | Mr Kenrick Carlyle Bourne, PA-C 1695 S San Jacinto Ave Ste C, San Jacinto, CA 92583-5103 Ph: (951) 330-3100 |
Nikolay Nikolayevich Loboda, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1692 S Santa Fe Ave, #f-52, San Jacinto, CA 92583 Phone: 951-654-6596 | |
Mr. Emmanuel O Ogbodo, MBA,, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 229 W 7th St, San Jacinto, CA 92583 Phone: 951-487-2550 | |
Stan Ekume Mokoko, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1695 S San Jacinto Ave Ste A, San Jacinto, CA 92583 Phone: 951-330-3100 | |
Sara Elizabeth Barnes, M.S, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 229 W 7th St, San Jacinto, CA 92583 Phone: 951-487-2550 | |
Marina Gonzalez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1629 Ann Arbor Ct, San Jacinto, CA 92583 Phone: 951-357-3291 |