Carlos L Moreno, MD | |
869 N. Cherry Street, Tulare, CA 93274-2207 | |
(209) 668-0821 | |
(269) 659-6738 |
Full Name | Carlos L Moreno |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 869 N. Cherry Street, Tulare, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962468561 | NPI | - | NPPES |
4830843 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A86872 (California) | Primary |
207L00000X | Anesthesiology | 4301072895 (Michigan) | Secondary |
Entity Name | G & G Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20210204002043 |
Mailing Address | Practice Location Address |
---|---|
Carlos L Moreno, MD Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725 | Carlos L Moreno, MD 869 N. Cherry Street, Tulare, CA 93274-2207 Ph: (209) 668-0821 |
Jeffrey C Chang, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 869 N Cherry St, Tulare, CA 93274 Phone: 559-668-0821 | |
Mr. Arthur Wong, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 869 N. Cherry Street, Tulare, CA 93274 Phone: 559-688-0821 Fax: 209-669-2377 | |
Dr. Yvonne I. Leramo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 869 N. Cherry Street, Tulare, CA 93274 Phone: 559-688-0821 Fax: 661-664-4640 | |
Robert E Smith, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 869 N Cherry St, Tulare, CA 93274 Phone: 559-688-0821 | |
Marcos S Canas, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 869 N Cherry St, Tulare, CA 93274 Phone: 559-688-0821 | |
Randal J May, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 869 N Cherry St, Tulare, CA 93274 Phone: 559-741-6073 |