| Dr Connor Mark Peck, DO | |
|
10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 | |
| (858) 554-7993 | |
| Not Available |
| Full Name | Dr Connor Mark Peck |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 10710 N Torrey Pines Rd, La Jolla, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285165225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 20A22606 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Connor Mark Peck, DO 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 Ph: (858) 554-7993 | Dr Connor Mark Peck, DO 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 Ph: (858) 554-7993 |
Dr. Kian Raiszadeh, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2725 Ridgegate Row, La Jolla, CA 92037 Phone: 201-600-4903 | |
Dr. Arash Kermanshahi, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7993 | |
Troy Kazuo Sekimura, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 800-926-8273 | |
Christopher Monglin Liu, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 9500 Gilman Dr, La Jolla, CA 92093 Phone: 571-721-9812 | |
William C Mohlenbrock, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, Ste 210, La Jolla, CA 92037 Phone: 858-535-1075 Fax: 858-453-9810 | |
Dr. Matthew Weber, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10710 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7993 | |
Alex Christopher Jouflas, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9400 Campus Point Dr, La Jolla, CA 92093 Phone: 800-926-8273 |