| Dr Christopher John Pellegrino Jr, MD | |
|
23961 Calle De La Magdalena Ste 500, Laguna Hills, CA 92653-7622 | |
| (949) 855-1101 | |
| (949) 289-9171 |
| Full Name | Dr Christopher John Pellegrino Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 23961 Calle De La Magdalena Ste 500, Laguna Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477189330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A185811 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher John Pellegrino Jr, MD 23961 Calle De La Magdalena Ste 500, Laguna Hills, CA 92653-7622 Ph: (949) 855-1101 | Dr Christopher John Pellegrino Jr, MD 23961 Calle De La Magdalena Ste 500, Laguna Hills, CA 92653-7622 Ph: (949) 855-1101 |
Poone Shoureshi, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 23961 Calle De La Magdalena Ste 500, Laguna Hills, CA 92653 Phone: 949-855-1101 Fax: 949-289-9171 | |
Leah Y Nakamura, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 23961 Calle De La Magdalena Ste 500, Laguna Hills, CA 92653 Phone: 949-855-1011 Fax: 949-289-9171 | |
Dr. Daniel Su, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 23961 Calle De La Magdalena Ste 500, Laguna Hills, CA 92653 Phone: 949-855-1101 Fax: 949-289-9171 | |
Dr. Karan J Singh, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 23961 Calle De La Magdalena Ste 500, Laguna Hills, CA 92653 Phone: 949-855-1101 Fax: 949-289-9171 | |
Dr. Paul J Oh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 23961 Calle De La Magdalena Ste 500, Laguna Hills, CA 92653 Phone: 949-855-1101 Fax: 949-289-9171 | |
Mr. Ronald Wayne Rosenquist, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 24953 Paseo De Valencia, Laguna Hills, CA 92653 Phone: 949-768-6711 Fax: 949-768-6711 |