| Andrew Sundin, MD | |
|
18523 Corwin Rd Ste A, Apple Valley, CA 92307-2300 | |
| (909) 712-2764 | |
| (909) 752-8719 |
| Full Name | Andrew Sundin |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 18523 Corwin Rd Ste A, Apple 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 |
|---|---|---|---|
| 1710412028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 163437 (California) | Primary |
| Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Sundin, MD 18523 Corwin Rd Ste A, Apple Valley, CA 92307-2300 Ph: (909) 712-2764 | Andrew Sundin, MD 18523 Corwin Rd Ste A, Apple Valley, CA 92307-2300 Ph: (909) 712-2764 |
Rao Venkateswara Daluvoy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 15982 Quantico Rd Ste D, Apple Valley, CA 92307 Phone: 760-810-0920 Fax: 760-515-6044 | |
Paul John Wisniewski, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 18523 Corwin Rd Ste A, Apple Valley, CA 92307 Phone: 909-353-5285 | |
Dr. Chris Okwuosa, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 18310 Us Highway 18, Apple Valley, CA 92307 Phone: 760-998-2312 Fax: 760-242-3371 | |
Mr. Nathan S Chung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 19341 Bear Valley Road, Suite 205, Apple Valley, CA 92308 Phone: 760-247-0333 Fax: 760-247-8492 | |
Dr. Ferdinand Reyes Rico, MD Surgery Medicare: Medicare Enrolled Practice Location: 18310 Us Highway 18, Apple Valley, CA 92307 Phone: 760-241-6666 Fax: 760-947-5619 | |
Omar Zahoor Tahir, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 16008 Kamana Rd Ste 101, Apple Valley, CA 92307 Phone: 760-683-2199 Fax: 888-355-9670 | |
Dr. Vincent Ede Ajanwachuku, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 16133 Kamana Rd, Apple Valley, CA 92307 Phone: 760-242-8491 Fax: 760-242-8495 |