Amir Hossen Golsorkhi, MD | |
2101 N Waterman Ave, San Bernardino, CA 92404-4836 | |
(909) 883-8711 | |
Not Available |
Full Name | Amir Hossen Golsorkhi |
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Gender | Male |
Speciality | Anesthesiology |
Location | 2101 N Waterman Ave, San Bernardino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992912489 | NPI | - | NPPES |
190325401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | M5725 (Texas) | Secondary |
207L00000X | Anesthesiology | A101035 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Amir Hossen Golsorkhi, MD 210 N Tustin Ave, Santa Ana, CA 92705-3807 Ph: (714) 347-1010 | Amir Hossen Golsorkhi, MD 2101 N Waterman Ave, San Bernardino, CA 92404-4836 Ph: (909) 883-8711 |
Dr. Sakorn Koonopakarn, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 800-883-7243 | |
Antonio Moreno, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Dr. Samuel J Roth, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Dr. Benjamin Franklin Davis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 800-883-7243 | |
Dr. Roman Trochanowski, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Smita Jayprakash Shah, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1805 Medical Center Dr, San Bernardino, CA 92411 Phone: 909-887-6333 Fax: 909-887-9565 | |
Dr. Mrunal Bhatt, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 800-883-7243 |