| Mrs Lou Mizelle Delacruz Tanwangco, PA-C | |
|
1906 Commercenter E Ste 100, San Bernardino, CA 92408-3423 | |
| (909) 478-7776 | |
| (909) 478-7768 |
| Full Name | Mrs Lou Mizelle Delacruz Tanwangco |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1906 Commercenter E Ste 100, San Bernardino, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609993708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA17755 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lou Mizelle Delacruz Tanwangco, PA-C 491 S La Salle St, Redlands, CA 92374-6472 Ph: (909) 709-2045 | Mrs Lou Mizelle Delacruz Tanwangco, PA-C 1906 Commercenter E Ste 100, San Bernardino, CA 92408-3423 Ph: (909) 478-7776 |
Nicholas Walther, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Deval Dave, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Daniel E Kim, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 284 E Highland Ave, San Bernardino, CA 92404 Phone: 909-883-1098 Fax: 909-883-0653 | |
Ms. Tanisha G Williams, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1805 Medical Center Dr, San Bernardino, CA 92411 Phone: 909-887-6333 Fax: 909-887-1985 | |
Miss Sara Natour, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2334 N Sierra Way, San Bernardino, CA 92405 Phone: 909-747-2715 | |
Ms. Keturah Braithwaite, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 941 Kendall Dr Ste C, San Bernardino, CA 92407 Phone: 302-354-7476 | |
Mr. Richard Tang, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1364 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-474-9952 |