Dr Especianise Loresca, MD | |
1 Main St, San Quentin, CA 94964-1000 | |
(415) 454-1460 | |
Not Available |
Full Name | Dr Especianise Loresca |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1 Main St, San Quentin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265845200 | NPI | - | NPPES |
A142671 | Other | CA | STATE MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A142671 (California) | Primary |
Entity Name | Community Foundation Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387 |
Mailing Address | Practice Location Address |
---|---|
Dr Especianise Loresca, MD 6114 La Salle Ave Ste 159, Oakland, CA 94611-2802 Ph: (510) 926-5146 | Dr Especianise Loresca, MD 1 Main St, San Quentin, CA 94964-1000 Ph: (415) 454-1460 |
Dr. Denise C Alabart Reyes, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, San Quentin, CA 94964 Phone: 415-454-1460 | |
Dr. William Eldridge Williams, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, San Quentin, CA 94964 Phone: 415-454-1460 Fax: 415-455-5091 | |
Elena Tootell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Office Of The Cmo, San Quentin State Prison, San Quentin, CA 94964 Phone: 415-721-3511 Fax: 415-721-3512 | |
Dr. Fernand Rene Alvarez Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, San Quentin, CA 94964 Phone: 415-454-1460 |