| Dr Mario Santos Yco, MD | |
|
477 N El Camino Real, Suite A-210, Encinitas, CA 92024-1328 | |
| (760) 944-4211 | |
| (760) 944-9769 |
| Full Name | Dr Mario Santos Yco |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology - Otolaryngology/facial Plastic Surgery |
| Location | 477 N El Camino Real, Encinitas, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053535310 | NPI | - | NPPES |
| 00G426121 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | G42612 (California) | Primary |
| Entity Name | Stephen Dent Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093941601 PECOS PAC ID: 4082760616 Enrollment ID: O20090922000744 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mario Santos Yco, MD 6399 San Ignacio Ave Ste 120, San Jose, CA 95119-1215 Ph: (408) 369-5620 | Dr Mario Santos Yco, MD 477 N El Camino Real, Suite A-210, Encinitas, CA 92024-1328 Ph: (760) 944-4211 |
Stephen Michael Dent, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 477 N El Camino Real, A-202, Encinitas, CA 92024 Phone: 760-479-2100 | |
Dr. Aliya Ferouz-colborn, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 477 N El Camino Real, Suite D-308, Encinitas, CA 92024 Phone: 760-942-9028 Fax: 760-942-5055 |