| Boruch Goldstein, | |
|
2800 Riverside Ave, Paso Robles, CA 93446-1311 | |
| (805) 238-7250 | |
| (805) 238-0165 |
| Full Name | Boruch Goldstein |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2800 Riverside Ave, Paso Robles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164041265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A186744 (California) | Primary |
| Entity Name | Community Health Centers Of The Central Coast Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161 |
| Mailing Address | Practice Location Address |
|---|---|
| Boruch Goldstein, 2800 Riverside Ave Ste 101, Paso Robles, CA 93446-1312 Ph: (805) 238-7250 | Boruch Goldstein, 2800 Riverside Ave, Paso Robles, CA 93446-1311 Ph: (805) 238-7250 |
James M Mcghee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 416 Spring St, 201, Paso Robles, CA 93446 Phone: 805-238-7250 Fax: 805-238-0165 | |
Marylin B Ricardo-ortiz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 Spring St, Paso Robles, CA 93446 Phone: 805-238-7250 Fax: 805-929-6440 | |
Pablo Jose Yepez Bracamonte, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Riverside Ave, Paso Robles, CA 93446 Phone: 805-238-7250 Fax: 805-238-0165 | |
Ronald J. Field, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1108 Vine St, Paso Robles, CA 93446 Phone: 805-239-4222 Fax: 805-239-4832 | |
Dr. Deborah Ann Kronstad, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 416 Spring St, 201, Paso Robles, CA 93446 Phone: 805-238-7250 Fax: 805-238-0165 |