Lyshawn Xatiy Phommakhoth, | |
9534 Kelley Dr, Stockton, CA 95209-1578 | |
(209) 487-3891 | |
Not Available |
Full Name | Lyshawn Xatiy Phommakhoth |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 9534 Kelley Dr, Stockton, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306627260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lyshawn Xatiy Phommakhoth, 9534 Kelley Dr, Stockton, CA 95209-1578 Ph: (209) 487-3891 | Lyshawn Xatiy Phommakhoth, 9534 Kelley Dr, Stockton, CA 95209-1578 Ph: (209) 487-3891 |
Ms. Rose L Santos, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 415 W Benjamin Holt Dr, Stockton, CA 95207 Phone: 209-472-8400 | |
Anjali Agrawal, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2531 N California St, Stockton, CA 95204 Phone: 209-464-7738 Fax: 209-464-5142 | |
Christophe Thomas Anslinger, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2488 N California St, Stockton, CA 95204 Phone: 209-948-3333 | |
Michelle Lai, MPH, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 525 W Acacia St, Stockton, CA 95203 Phone: 209-944-5550 | |
Mrs. Sandra Robles-bonham, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 77 W. March Lane, Suite A, Stockton, CA 95207 Phone: 209-477-5552 Fax: 209-477-5553 | |
Stanley Ray Cathey, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8719 Moreno Ct, Stockton, CA 95209 Phone: 209-269-0120 Fax: 209-476-1962 | |
Leslie Ann Townsend, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000 |