| Dr Larry J Marshall, MD | |
|
12517 Lakeshore Dr, Lakeside, CA 92040-3103 | |
| (619) 443-3843 | |
| (619) 390-1810 |
| Full Name | Dr Larry J Marshall |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 12517 Lakeshore Dr, Lakeside, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114018132 | NPI | - | NPPES |
| 00A523440 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16913 (Nevada) | Secondary |
| 207Q00000X | Family Medicine | A52344 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grossmont Hospital | La mesa, CA | Hospital |
| Sharp Memorial Hospital | San diego, CA | Hospital |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Entity Name | Larry J Marshall Md A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689884942 PECOS PAC ID: 4486681624 Enrollment ID: O20050720000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry J Marshall, MD 12517 Lakeshore Dr, Lakeside, CA 92040-3103 Ph: (619) 443-3843 | Dr Larry J Marshall, MD 12517 Lakeshore Dr, Lakeside, CA 92040-3103 Ph: (619) 443-3843 |
Joshua Gunpat, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10039 Vine St, Lakeside, CA 92040 Phone: 833-867-4642 | |
Dr. Victor Manuel Mendoza-fernandez, Family Medicine Medicare: Medicare Enrolled Practice Location: 12517 Lakeshore Dr, Lakeside, CA 92040 Phone: 619-443-3843 Fax: 619-390-1810 | |
Elizabeth Mannino, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10039 Vine St, Lakeside, CA 92040 Phone: 619-390-9975 Fax: 619-390-8721 | |
Dr. Robert Johnson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12501 Del Sol Rd, Lakeside, CA 92040 Phone: 619-443-2967 | |
Mr. Kulin Tantod, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10039 Vine St Ste A, Lakeside, CA 92040 Phone: 619-390-9975 |