Dr Paula Tran Imoto, OD | |
9985 Sierra Ave, Fontana, CA 92335-5825 | |
(888) 750-0036 | |
Not Available |
Full Name | Dr Paula Tran Imoto |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 9985 Sierra Ave, Fontana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467635094 | NPI | - | NPPES |
111 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 13283T (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Provider Name | Southern California Permanente Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Dr Paula Tran Imoto, OD 5822 Myda Ave, Temple City, CA 91780 Ph: (626) 226-8710 | Dr Paula Tran Imoto, OD 9985 Sierra Ave, Fontana, CA 92335-5825 Ph: (888) 750-0036 |
Junyao Xu, OD Optometrist Medicare: Medicare Enrolled Practice Location: 8381 Juniper Ave Unit 100, Fontana, CA 92335 Phone: 909-428-2020 | |
Tammy M Tran, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Gary J Jacobson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Arlene Sarroca Arcega, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Dr. Matthew M. Enos, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8190 Mango Ave, Fontana, CA 92335 Phone: 909-350-2020 | |
Theprangsy Nantha, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Gilbert H Tokuhara, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |