| Southern California Liver Centers Inc | |
|
131 Orange Ave Ste 101 Coronado CA 92118-1408 | |
| (619) 522-0399 | |
| Not Available |
| Full Name | Southern California Liver Centers Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 131 Orange Ave Ste 101, Coronado, California |
| Authorized Official Name and Position | Tarek Hassanein (PRESIDENT) |
| Authorized Official Contact | 6199649649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Liver Centers Inc Po Box 181770 Coronado CA 92178-1770 Ph: (619) 964-9649 | Southern California Liver Centers Inc 131 Orange Ave Ste 101 Coronado CA 92118-1408 Ph: (619) 522-0399 |
| NPI Number | 1871633099 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 05/03/2018 |
| Medicare PECOS PAC ID | 3173584604 |
|---|---|
| Medicare Enrollment ID | O20041112001199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871633099 | NPI | - | NPPES |
| 00A544520 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 207RI0008X | Internal Medicine - Hepatology | A54452 (California) | Primary |
| Provider Name | Tarek I Hassanein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801854450 PECOS PAC ID: 6608837133 Enrollment ID: I20041020000350 |
| Provider Name | Lorenzo Rossaro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750368163 PECOS PAC ID: 6901970839 Enrollment ID: I20080811000277 |
| Provider Name | Nabil Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235405655 PECOS PAC ID: 4284958992 Enrollment ID: I20150128000671 |
| Provider Name | Patrick H Sweet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457407702 PECOS PAC ID: 6901103829 Enrollment ID: I20160321001230 |
| Provider Name | Deanna L Oliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750725362 PECOS PAC ID: 2567735137 Enrollment ID: I20170901000658 |
| Provider Name | Alexander D. Shaft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063876688 PECOS PAC ID: 0941540660 Enrollment ID: I20190315001853 |
Sharpcare Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Prospect Pl Ste 340b, Coronado, CA 92118 Phone: 619-522-4000 Fax: 619-435-0150 | |
Laura Norton Petrovich Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1224 10th St, Suite 200, Coronado, CA 92118 Phone: 619-435-2234 Fax: 619-435-1784 | |
Parmela Sawhney Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1222 1st St, Suite 6, Coronado, CA 92118 Phone: 619-435-4488 Fax: 619-435-4489 | |
Patrick R Yassini M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 131 Orange Ave, #100, Coronado, CA 92118 Phone: 619-522-4005 Fax: 619-522-4014 | |
Crown Island Family Practice A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Prospect Pl, Suite 350, Coronado, CA 92118 Phone: 619-537-6910 Fax: 619-537-6905 | |
Prema Sai Medical, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Prospect Pl Ste 220, Coronado, CA 92118 Phone: 559-593-6450 Fax: 619-297-4490 | |
Coronado Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Prospect Pl Ste 340b, Coronado, CA 92118 Phone: 619-522-4000 Fax: 619-435-0150 |