| Dr Anatoly Kristiann Hernandez, DO | |
|
1145 Sturgis Road, Twentynine Palms, CA 92278 | |
| (760) 830-2307 | |
| Not Available |
| Full Name | Dr Anatoly Kristiann Hernandez |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1145 Sturgis Road, Twentynine Palms, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457555161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 20A10642 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anatoly Kristiann Hernandez, DO 1145 Sturgis Road, Twentynine Palms, CA 92278 Ph: (760) 830-2307 | Dr Anatoly Kristiann Hernandez, DO 1145 Sturgis Road, Twentynine Palms, CA 92278 Ph: (760) 830-2307 |
Kenneth Wise, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1145 Sturgis Street, Twentynine Palms, CA 92278 Phone: 410-707-6293 | |
Dr. Tristan Loesberg, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1145 Sturgis Dr, Twentynine Palms, CA 92278 Phone: 760-830-2190 | |
Dr. Bruce R Laverty, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Marine Corps Air Ground Combat Center, Box 788250, Twentynine Palms, CA 92278 Phone: 760-830-2188 | |
Todd Kramer, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1145 Sturgis Rd, Twentynine Palms, CA 92277 Phone: 909-327-7388 |