Agnes Claudine Cecile Henry-codorniz, MD | |
4530 Landeen Ct, Riverside, CA 92505-5107 | |
(909) 499-7381 | |
Not Available |
Full Name | Agnes Claudine Cecile Henry-codorniz |
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Gender | Female |
Speciality | Family Medicine |
Location | 4530 Landeen Ct, Riverside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1285957241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | A107532 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Agnes Claudine Cecile Henry-codorniz, MD 4530 Landeen Ct, Riverside, CA 92505-5107 Ph: () - | Agnes Claudine Cecile Henry-codorniz, MD 4530 Landeen Ct, Riverside, CA 92505-5107 Ph: (909) 499-7381 |
Miriam Cho, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-321-6504 Fax: 951-784-3271 | |
Sung Jin John, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Dr. Denise A Martinez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3390 University Ave Ste 100, Riverside, CA 92501 Phone: 844-827-8000 | |
Nathan Hao Hsin Yen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5427 Fax: 951-697-5516 | |
Dr. Janis Neuman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7140 Indiana Ave, Riverside, CA 92504 Phone: 951-358-6000 Fax: 951-358-6044 | |
Wayne Dysinger, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4368 Central Ave, Riverside, CA 92506 Phone: 951-742-7324 Fax: 951-394-7267 | |
Karl Tanara, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-782-3715 Fax: 951-784-3275 |