| Dr Kamesiau Damara Premmer, MD | |
|
21634 Retreat Pkwy, Corona, CA 92883-6100 | |
| (951) 278-6050 | |
| Not Available |
| Full Name | Dr Kamesiau Damara Premmer |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 21634 Retreat Pkwy, Corona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982879169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 233452 (Massachusetts) | Primary |
| 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 |
| Entity Name | Riverside Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720183403 PECOS PAC ID: 2961492327 Enrollment ID: O20040517000880 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kamesiau Damara Premmer, MD 21634 Retreat Pkwy, Corona, CA 92883-6100 Ph: (951) 278-6050 | Dr Kamesiau Damara Premmer, MD 21634 Retreat Pkwy, Corona, CA 92883-6100 Ph: (951) 278-6050 |
Jeffrey Rieker, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 S Main St, Corona, CA 92882 Phone: 951-737-4343 | |
William John Brya, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 25015 Cliffrose St, Corona, CA 92883 Phone: 951-277-9890 Fax: 951-277-9890 | |
Wendy S Martin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 S Main St, Corona, CA 92882 Phone: 909-737-4343 | |
Dr. Ramin Akhavan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 351 Corporate Terrace Cir, Corona, CA 92879 Phone: 951-443-5940 Fax: 951-443-5943 | |
Mahesh Suranjan Desilva, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 S. Main Street, Corona, CA 92882 Phone: 951-736-6233 | |
Susan Trinh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6459 Whitelily St, Corona, CA 92880 Phone: 858-232-8572 | |
Youn S. Toh, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 24258 Owl Ct, Corona, CA 92883 Phone: 951-603-3496 |