Mr Kenrick Carlyle Bourne, PA-C | |
Loma Linda University, Loma Linda, CA 92350-0001 | |
(909) 558-7295 | |
Not Available |
Full Name | Mr Kenrick Carlyle Bourne |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | Loma Linda University, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063690931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA12018 (California) | Primary |
363LF0000X | Nurse Practitioner - Family | PA12018 (California) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Kenrick Carlyle Bourne, PA-C 3076 Prado Ln, Colton, CA 92324-9794 Ph: (909) 825-6053 | Mr Kenrick Carlyle Bourne, PA-C Loma Linda University, Loma Linda, CA 92350-0001 Ph: (909) 558-7295 |
Mr. Randal Keith Gilman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4475 Fax: 909-558-4143 | |
Ms. Jocelyn Isabel Castaneda, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 24785 Anderson St, Loma Linda, CA 92354 Phone: 909-558-7294 | |
Elaine Marie Legaspi, Physician Assistant Medicare: Medicare Enrolled Practice Location: 10859 Heirloom Way, Loma Linda, CA 92354 Phone: 626-347-5904 | |
Liming Bu, Physician Assistant Medicare: Medicare Enrolled Practice Location: 25333 Barton Rd, Loma Linda, CA 92350 Phone: 909-558-6641 | |
Minh-anh Nguyen Luong, Physician Assistant Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Marque R Dietzler, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4444 |