Dr Michael I Cornfield, DPM | |
410 W Central Ave, #204, Brea, CA 92821 | |
(714) 990-4422 | |
(714) 990-2855 |
Full Name | Dr Michael I Cornfield |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 410 W Central Ave, Brea, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194745471 | NPI | - | NPPES |
00E2059 | Medicaid | CA | |
1194745471 | Other | CA | INDIVIDUAL NPI |
1609107366 | Other | CA | NPI TYPE 2 |
CV970Z | Other | CA | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | E2059 (California) | Primary |
Provider Name | Onesource Senior Healthcare Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508272188 PECOS PAC ID: 6901026988 Enrollment ID: O20140926000777 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael I Cornfield, DPM 410 W Central Ave, #204, Brea, CA 92821 Ph: (714) 990-4422 | Dr Michael I Cornfield, DPM 410 W Central Ave, #204, Brea, CA 92821 Ph: (714) 990-4422 |
Dr. Paul S. Vallejo, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 410 W Central Ave, 204, Brea, CA 92821 Phone: 714-990-4422 | |
Paul S. Vallejo, Dpm, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 410 W Central Ave, 204, Brea, CA 92821 Phone: 714-990-4422 | |
Natasha D. Marshall, Dpm, Podiatry Corporation Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 410 W Central Ave, Suite 204, Brea, CA 92821 Phone: 714-990-4422 Fax: 714-990-2855 | |
Michael I Cornfield Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 410 W Central Ave, 204, Brea, CA 92821 Phone: 714-990-4422 Fax: 714-990-2855 | |
Nick Thanh Nguyen, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3686 Sandpiper Way, Brea, CA 92823 Phone: 714-321-7168 |