| Cesar Mamani, DDS | |
|
22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 | |
| (951) 571-2300 | |
| (951) 571-2330 |
| Full Name | Cesar Mamani |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 22675 Alessandro Blvd, Moreno Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871636845 | NPI | - | NPPES |
| HAP70275G | Other | CA | PACT |
| FHC70275G | Other | CO | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52428 (California) | Primary |
| Entity Name | Community Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952308009 PECOS PAC ID: 7012824717 Enrollment ID: O20051117000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Cesar Mamani, DDS 1328 S Mission Rd, Fallbrook, CA 92028-4006 Ph: (760) 451-2730 | Cesar Mamani, DDS 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 Ph: (951) 571-2300 |
Ha Eun Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12625 Frederick St Ste F4, Moreno Valley, CA 92553 Phone: 951-697-7750 |
Dao Vo, Dentist Medicare: Not Enrolled in Medicare Practice Location: 12800 Heacock St Ste A1, Moreno Valley, CA 92553 Phone: 951-239-3654 |
Mustafa Raad Muhildeen Helmi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 23185 Hemlock Ave, Moreno Valley, CA 92557 Phone: 951-571-8369 |
Mourushee Chowdhury, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 27140 Eucalyptus Ave Ste C, Moreno Valley, CA 92555 Phone: 951-336-8478 |
Robert Thomas Silvola, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12810 Heacock St, Ste B103, Moreno Valley, CA 92553 Phone: 951-242-3441 Fax: 951-242-9544 |
Dr. Mervin Lee Ellstrom, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12900 Perris Blvd, Suite 101, Moreno Valley, CA 92553 Phone: 951-242-3431 Fax: 951-242-7570 |
Prof. Katyuska Paredes Lopez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 23318 Olive Wood Plaza Dr Ste C, Moreno Valley, CA 92553 Phone: 951-242-5585 Fax: 951-242-5587 |