| Dr Anil D Mall, MD | |
|
1023 S Mount Vernon Ave Ste A, Colton, CA 92324-4202 | |
| (909) 533-4443 | |
| (909) 533-4483 |
| Full Name | Dr Anil D Mall |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1023 S Mount Vernon Ave Ste A, Colton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285656900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A60590 (California) | Primary |
| Entity Name | Park Sierra Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184833428 PECOS PAC ID: 3678658408 Enrollment ID: O20080304000633 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anil D Mall, MD 1023 S Mount Vernon Ave Ste A, Colton, CA 92324-4202 Ph: (909) 533-4443 | Dr Anil D Mall, MD 1023 S Mount Vernon Ave Ste A, Colton, CA 92324-4202 Ph: (909) 533-4443 |
Carolyn M Doherty, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Mob Suite 308, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363 | |
Dr. Febbis Balinos, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Arrowhead Family Medical Group, Colton, CA 92324 Phone: 909-580-3370 | |
Carol Hyeun Lee, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-1400 | |
Ms. Heather Bohn, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper, Colton, CA 92324 Phone: 909-580-3366 Fax: 909-580-3332 | |
Navkiran Kaur Bains, MD, MPH Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave Ste 301, Colton, CA 92324 Phone: 909-580-3366 | |
Christina Sugirtharaj, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3366 | |
Dr. Ryan Bradley Estacio Ortizo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 E Cooley Dr, Colton, CA 92324 Phone: 909-370-4100 |