| David Opai-tetteh, MD | |
|
8200 Haven Avenue, Ste101, Rancho Cucamonga, CA 91730 | |
| (909) 649-8031 | |
| (909) 989-6895 |
| Full Name | David Opai-tetteh |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 8200 Haven Avenue, Rancho Cucamonga, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427077684 | NPI | - | NPPES |
| 00A531940 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A53194 (California) | Primary |
| Entity Name | Advanced Dermatology Surgical And Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154407856 PECOS PAC ID: 5294779898 Enrollment ID: O20050614001443 |
| Mailing Address | Practice Location Address |
|---|---|
| David Opai-tetteh, MD 4335 Van Nuys Blvd, Sutie 315, Sherman Oaks, CA 91403-3727 Ph: (909) 649-8031 | David Opai-tetteh, MD 8200 Haven Avenue, Ste101, Rancho Cucamonga, CA 91730 Ph: (909) 649-8031 |
Dr. Ishrat Husain, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7365 Carnelian St, Ste #137, Rancho Cucamonga, CA 91730 Phone: 909-948-8888 Fax: 909-948-8839 | |
Dr. Johnnie M. Woodson Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9190 Haven Ave Ste 210, Rancho Cucamonga, CA 91730 Phone: 909-466-7779 Fax: 909-466-9680 | |
Dr. Lee S Austin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7365 Carnelian St, Ste 137, Rancho Cucamonga, CA 91730 Phone: 909-948-8888 Fax: 909-948-8839 |