| Cameron Trodello, | |
|
23521 Paseo De Valencia Ste 102, Laguna Hills, CA 92653-3126 | |
| (978) 855-5560 | |
| Not Available |
| Full Name | Cameron Trodello |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 23521 Paseo De Valencia Ste 102, Laguna Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144717901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A175705 (California) | Primary |
| Entity Name | Jennifer Channual Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710485982 PECOS PAC ID: 8628333978 Enrollment ID: O20180607001710 |
| Mailing Address | Practice Location Address |
|---|---|
| Cameron Trodello, 1000 W Carson St, Torrance, CA 90502-2004 Ph: (978) 855-5560 | Cameron Trodello, 23521 Paseo De Valencia Ste 102, Laguna Hills, CA 92653-3126 Ph: (978) 855-5560 |
Dr. Mahsa Abdollahi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 25200 La Paz Rd Ste 210, Laguna Hills, CA 92653 Phone: 949-464-5770 | |
Dr. Edward W.b. Jeffes Iii, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 26081 Merit Circle #109, Laguna Hills, CA 92653 Phone: 949-582-7699 Fax: 949-582-7691 | |
Dr. Sheila Gayle Widyolar, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 23961 Calle De Magdalena, Suite 403, Laguna Hills, CA 92653 Phone: 949-452-3814 Fax: 949-855-1007 | |
Dr. Karl David Bassler, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 23961 Magdalena, #520, Laguna Hills, CA 92653 Phone: 949-855-3376 Fax: 949-609-1971 | |
Dr. Rollin M Green, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 24012 Calle De La Plata Ste 200, Laguna Hills, CA 92653 Phone: 949-452-3841 | |
Dr. Katherine Bao-shian Lee, M.D., M.A. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 24431 Calle De La Louisa, Suite 200, Laguna Hills, CA 92653 Phone: 949-266-0216 Fax: 949-266-0216 |