| Ms Lila T Divine, PA | |
|
24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | |
| (949) 586-3200 | |
| Not Available |
| Full Name | Ms Lila T Divine |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 24331 El Toro Rd Ste 200, Laguna Woods, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043883093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 60085 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pomona Valley Hospital Medical Center | Pomona, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Orthopaedic Trauma Specialists Pmc | 4082992623 | 16 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lila T Divine, PA 160 E Artesia St, Ste 255, Pomona, CA 91767-2921 Ph: (949) 586-3200 | Ms Lila T Divine, PA 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 Ph: (949) 586-3200 |
Tony Nguyen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24331 El Toro Rd, Suite 200, Laguna Woods, CA 92637 Phone: 949-586-3200 Fax: 949-900-2118 | |
Candice Nicole Castro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637 Phone: 949-767-0800 | |
Joshua Icasas, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637 Phone: 949-586-3200 | |
Natalie Elaine Reed, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637 Phone: 949-586-3200 | |
Bruce Harry Garbett, P.A.C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24331 El Toro Rd, 330, Laguna Woods, CA 92637 Phone: 949-707-1870 Fax: 949-707-1874 | |
Stacy Renee Cohen-barrera, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637 Phone: 495-863-3200 |