| Stan Ekume Mokoko, PA | |
|
1695 S San Jacinto Ave Ste A, San Jacinto, CA 92583-5103 | |
| (951) 330-3100 | |
| Not Available |
| Full Name | Stan Ekume Mokoko |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1695 S San Jacinto Ave Ste A, San Jacinto, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336994110 | NPI | - | NPPES |
| 10004 | Other | CA | TEMP MSP PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10004 (California) | Primary |
| 363A00000X | Physician Assistant | 1983 (Puerto Rico) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Stan Ekume Mokoko, PA 36056 Darcy Pl, Murrieta, CA 92562-4563 Ph: (912) 272-4640 | Stan Ekume Mokoko, PA 1695 S San Jacinto Ave Ste A, San Jacinto, CA 92583-5103 Ph: (951) 330-3100 |
Mr. Kenrick Carlyle Bourne, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1695 S San Jacinto Ave Ste C, San Jacinto, CA 92583 Phone: 951-330-3100 Fax: 951-380-8596 | |
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 | |
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 |