| Tana Gen Szoyka, | |
|
Riverisde San Bernardino County Indian Health, Inc, 11980 Mount Vernon Avenue, Grand Terrace, CA 92313-5172 | |
| (909) 864-1097 | |
| (951) 225-6879 |
| Full Name | Tana Gen Szoyka |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | Riverisde San Bernardino County Indian Health, Inc, Grand Terrace, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871369355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Riverside-san Bernardino County Indian Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174676670 PECOS PAC ID: 4789867805 Enrollment ID: O20150508001121 |
| Mailing Address | Practice Location Address |
|---|---|
| Tana Gen Szoyka, Riverisde San Bernardino County Indian Health, Inc, 11980 Mount Vernon Avenue, Grand Terrace, CA 92313-5172 Ph: (909) 864-1097 | Tana Gen Szoyka, Riverisde San Bernardino County Indian Health, Inc, 11980 Mount Vernon Avenue, Grand Terrace, CA 92313-5172 Ph: (909) 864-1097 |
Kyla Leon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11980 Mount Vernon Ave, Grand Terrace, CA 92313 Phone: 909-864-1097 | |
Rheanna Denise Harrod, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12139 Mount Vernon Ave Ste 103, Grand Terrace, CA 92313 Phone: 909-281-9662 | |
Dontel D. Wise, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21935 Van Buren St Ste 13, Grand Terrace, CA 92313 Phone: 909-906-1023 | |
John Phillip Iyott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11980 Mount Vernon Ave, Grand Terrace, CA 92313 Phone: 909-864-1097 | |
Victor Godfrey Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11980 Mount Vernon Ave, Grand Terrace, CA 92313 Phone: 909-864-1097 | |
Sokdina Keo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21935 Van Buren St Ste A1, Grand Terrace, CA 92313 Phone: 909-906-1023 Fax: 909-906-1032 | |
Danny Gantt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21935 Van Buren St Ste A1, Grand Terrace, CA 92313 Phone: 909-906-1023 |