| Diana M Breister, MD | |
|
2275 Rio Bonito Way, Suite 220, San Diego, CA 92108-1685 | |
| (619) 822-1667 | |
| (619) 684-1730 |
| Full Name | Diana M Breister |
|---|---|
| Gender | Female |
| Speciality | Plastic Surgery |
| Location | 2275 Rio Bonito Way, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629050943 | NPI | - | NPPES |
| 1396046454 | Other | NPI TYPE 2 | |
| 00A555101 | Medicaid | CA | |
| A55510 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | A55510 (California) | Primary |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana M Breister, MD 2275 Rio Bonito Way, Suite 220, San Diego, CA 92108-1685 Ph: (619) 822-1667 | Diana M Breister, MD 2275 Rio Bonito Way, Suite 220, San Diego, CA 92108-1685 Ph: (619) 822-1667 |
Vivian Jiayin Hu, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr # Mc8890, San Diego, CA 92103 Phone: 619-543-5887 | |
Jose De Jesus Rodriguez, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3023 Bunker Hill St Ste 204, San Diego, CA 92109 Phone: 858-483-0690 | |
Dr. Jose E. Otero, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6367 Alvarado Ct, #104, San Diego, CA 92120 Phone: 619-229-1211 Fax: 619-229-1141 | |
Dr. Jennifer Dolmajian, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Cagri Cakmakoglu, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12264 El Camino Real Ste 101, San Diego, CA 92130 Phone: 858-847-0800 | |
Dr. David Michael Kupfer, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5395 Ruffin Rd Ste 201, San Diego, CA 92123 Phone: 858-245-9804 Fax: 858-560-1974 | |
Dr. James J Chao, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, Mail Code 8890, San Diego, CA 92103 Phone: 619-543-2696 |