Andrea Wagner Thorp, MD | |
10800 Magnolia Ave, Riverside, CA 92505-3043 | |
(909) 353-2000 | |
Not Available |
Full Name | Andrea Wagner Thorp |
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Gender | Female |
Speciality | Pediatrics |
Location | 10800 Magnolia Ave, 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 |
---|---|---|---|
1558419580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A80643 (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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Andrea Wagner Thorp, MD 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (909) 353-2000 | Andrea Wagner Thorp, MD 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (909) 353-2000 |
Iris Figueroa Lois, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5432 Fax: 951-697-5471 | |
Dr. Stacy Marie Catalon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19314 Jesse Ln, Riverside, CA 92508 Phone: 951-782-3640 | |
Dr. Hisham Ahmad Labanieh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-2000 | |
Mohammad Shujauddin Siddiqui, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10769 Hole Ave, Suite 220, Riverside, CA 92505 Phone: 951-358-5554 Fax: 951-358-5980 | |
Beth L. Drake, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Thomas J Chen, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-782-3849 Fax: 951-784-3271 | |
Clark Larkin Gifford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-782-3685 Fax: 951-784-3256 |