Lisa Delos Santos, OD | |
1300 Crane St, 2 North, Menlo Park, CA 94025-4260 | |
(650) 498-6558 | |
Not Available |
Full Name | Lisa Delos Santos |
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Gender | Female |
Speciality | Optometrist |
Location | 1300 Crane St, Menlo Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730201294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 12563T (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Lisa Delos Santos, OD 1300 Crane St, 2 North, Menlo Park, CA 94025-4260 Ph: () - | Lisa Delos Santos, OD 1300 Crane St, 2 North, Menlo Park, CA 94025-4260 Ph: (650) 498-6558 |
Jessie Y Hwang, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 795 Willow Rd Bldg 334, Menlo Park, CA 94025 Phone: 650-599-3899 Fax: 650-321-5163 | |
Ann Chang, Optometrist Medicare: Medicare Enrolled Practice Location: 925 Hamilton Ave, Menlo Park, CA 94025 Phone: 650-521-5440 | |
Brian Quan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 El Camino Real, 160 Menlo Station, Menlo Park, CA 94025 Phone: 650-329-8181 Fax: 650-329-1069 | |
Dr. Helen Yau, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 811 Santa Cruz Ave, Menlo Park, CA 94025 Phone: 650-326-2177 Fax: 650-326-8154 | |
Mary Tran, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 El Camino Real, Suite 160, Menlo Park, CA 94025 Phone: 650-329-8182 | |
Dr. Natalie Iriana Tailo, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 El Camino Real Ste 160, Menlo Park, CA 94025 Phone: 650-329-8181 | |
Renisa C Satrijo, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 El Camino Real, 160 Menlo Station, Menlo Park, CA 94025 Phone: 650-329-8181 |