Beverly Lewis, MD | |
900 S Main St Ste 105, Corona, CA 92882-3401 | |
(951) 363-0243 | |
Not Available |
Full Name | Beverly Lewis |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 900 S Main St Ste 105, Corona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760456529 | NPI | - | NPPES |
GR0040370 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | G42697 (California) | Secondary |
207N00000X | Dermatology | G42697 (California) | Primary |
Entity Name | Porterville Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982354577 PECOS PAC ID: 9335520154 Enrollment ID: O20220725002310 |
Mailing Address | Practice Location Address |
---|---|
Beverly Lewis, MD 29306 Catalpa, Lake Elsinore, CA 92530-9100 Ph: (310) 806-1002 | Beverly Lewis, MD 900 S Main St Ste 105, Corona, CA 92882-3401 Ph: (951) 363-0243 |
Babak Roshdieh, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 770 Magnolia Ave, Suite 2g, Corona, CA 92879 Phone: 951-734-6500 Fax: 951-734-6555 | |
Mr. Manouchehr Seyfzadeh, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1820 Fullerton Avenue, Ste 360, Corona, CA 92881 Phone: 951-270-4494 Fax: 951-270-4495 | |
Dr. Jashin Joaquin Wu, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 760 Washburn Ave Ste 201, Corona, CA 92882 Phone: 951-257-8881 Fax: 916-251-0116 | |
Dr. Anand Raja Bhupathy, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 21634 Retreat Pkwy, Corona, CA 92883 Phone: 951-782-3818 Fax: 951-826-8128 |