| Faculty Physicians And Surgeons Of Llusm | |
|
11370 Anderson St Ste 1800, Loma Linda, CA 92354-3450 | |
| (909) 558-2180 | |
| Not Available |
| Full Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 11370 Anderson St Ste 1800, Loma Linda, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144461542 | NPI | - | NPPES |
| GSD004600 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Faculty Physicians And Surgeons Of Llusm File # 54701, Los Angeles, CA 90074-0001 Ph: (909) 558-3111 | Faculty Physicians And Surgeons Of Llusm 11370 Anderson St Ste 1800, Loma Linda, CA 92354-3450 Ph: (909) 558-2180 |
Dr. Douglas Soderblom, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 25815 Barton Rd, Suite 104, Loma Linda, CA 92354 Phone: 909-478-3345 Fax: 909-478-9337 | |
Tiffany Yumi Yanase Park, OD Optometrist Medicare: Medicare Enrolled Practice Location: 11370 Anderson St Ste 1800, Loma Linda, CA 92354 Phone: 909-558-2154 Fax: 909-558-2180 | |
Annessa Du, O.d., A Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 11346 Mountain View Ave Ste B, Loma Linda, CA 92354 Phone: 909-796-0101 | |
Nadiya Shalin Thomas, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste 1800, Loma Linda, CA 92354 Phone: 909-558-2154 | |
Annessa Du, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11346 Mountain View Ave Ste B, Loma Linda, CA 92354 Phone: 909-796-0101 | |
Faculty Physicians And Surgeons Of Llusm Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11370 Anderson St, Suite 1800, Loma Linda, CA 92354 Phone: 909-558-2180 |