| Sierra Medical Group | |
|
44469 10th St W Lancaster CA 93534-3324 | |
| (818) 654-3463 | |
| (818) 654-3460 |
| Full Name | Sierra Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 44469 10th St W, Lancaster, California |
| Authorized Official Name and Position | Charles Lim (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8186543463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Medical Group 8510 Balboa Blvd Suite 285 Northridge CA 91325-3583 Ph: (818) 654-3463 | Sierra Medical Group 44469 10th St W Lancaster CA 93534-3324 Ph: (818) 654-3463 |
| NPI Number | 1780832972 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 11/18/2009 |
| Medicare PECOS PAC ID | 9335185594 |
|---|---|
| Medicare Enrollment ID | O20050628001445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780832972 | NPI | - | NPPES |
| Provider Name | Darrin D Luu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407970684 PECOS PAC ID: 0143205757 Enrollment ID: I20040618001257 |
| Provider Name | Gerard H Boghossian |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942263322 PECOS PAC ID: 4486684156 Enrollment ID: I20050812001011 |
| Provider Name | Paula Lynn Bailey-walton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174646590 PECOS PAC ID: 2567497183 Enrollment ID: I20051003000723 |
| Provider Name | Eric L Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326052887 PECOS PAC ID: 2062418999 Enrollment ID: I20061016000514 |
| Provider Name | Marsha A Trochim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508962127 PECOS PAC ID: 7214018480 Enrollment ID: I20080114000320 |
| Provider Name | Atul Sharma |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497869192 PECOS PAC ID: 3971688250 Enrollment ID: I20080311000449 |
| Provider Name | Andrea Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437131703 PECOS PAC ID: 7810903374 Enrollment ID: I20081010000225 |
| Provider Name | John A Woodcock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063452316 PECOS PAC ID: 4981755600 Enrollment ID: I20090619000162 |
| Provider Name | Luis D Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295823854 PECOS PAC ID: 1759405772 Enrollment ID: I20100827000540 |
| Provider Name | George H Mya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790895936 PECOS PAC ID: 2860423928 Enrollment ID: I20101012000295 |
| Provider Name | Wah W Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891018719 PECOS PAC ID: 2163616954 Enrollment ID: I20101105000541 |
| Provider Name | Luis A Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598812174 PECOS PAC ID: 3971791047 Enrollment ID: I20101216000624 |
| Provider Name | Hong Phuc Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992995997 PECOS PAC ID: 7810176724 Enrollment ID: I20120601000303 |
| Provider Name | Barry Buffman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356480016 PECOS PAC ID: 9133343403 Enrollment ID: I20140609000355 |
| Provider Name | Julie Ann Cordero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033781687 PECOS PAC ID: 2961879507 Enrollment ID: I20221110001379 |
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