| Dr Chitra Fernando, MD | |
|
3364 Beyer Blvd, San Ysidro, CA 92173-1322 | |
| (619) 662-4100 | |
| Not Available |
| Full Name | Dr Chitra Fernando |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 3364 Beyer Blvd, San Ysidro, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659598688 | NPI | - | NPPES |
| Entity Name | Overlake Medical Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chitra Fernando, MD 1601 Precision Park Ln, San Diego, CA 92173-1345 Ph: (619) 662-4100 | Dr Chitra Fernando, MD 3364 Beyer Blvd, San Ysidro, CA 92173-1322 Ph: (619) 662-4100 |
Sharonya Shrivastava, Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Dr. Martin Valera Consunji, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Andrea Helen Polesky, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Jerry Chun-han Chen, Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Michele A. Lamantia, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro Health Center, San Ysidro, CA 92173 Phone: 619-917-7122 Fax: 619-474-3722 | |
Ms. Kelley Alexis Butler, MD, MPH Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 |