| Dr Mark D Hernandez, | |
|
Bldg, H100, Santa Margarita Road, Camp Pendleton, CA 92055-9151 | |
| (760) 725-8882 | |
| (760) 725-1267 |
| Full Name | Dr Mark D Hernandez |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | Bldg, H100, Santa Margarita Road, Camp Pendleton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952454449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 0101056186 (Virginia) | Primary |
| Entity Name | Chula Vista Emergency Room Physicians A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780021782 PECOS PAC ID: 5092943779 Enrollment ID: O20140103000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark D Hernandez, 9504 Paseo De Los Castillos, Santee, CA 92071-4185 Ph: (619) 334-6959 | Dr Mark D Hernandez, Bldg, H100, Santa Margarita Road, Camp Pendleton, CA 92055-9151 Ph: (760) 725-8882 |
Dr. Michael Andrew Galuska, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Building H100, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-725-1620 | |
Dr. Syed A Hussain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-719-4966 Fax: 760-725-1014 | |
Adrian Korduba, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-1288 | |
Jessica Nicole Cubillos, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: Naval Hospital Camp Pendleton, 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-1288 | |
Kristopher Robert Lange, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 801-921-2770 | |
Amanda Mona Lau, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Naval Hospital Camp Pendleton, 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-719-3462 | |
Carrie J. Nichols, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Mercy Circle, Family Medicine Dept, Camp Pendleton, CA 92058 Phone: 760-719-3616 Fax: 760-725-1101 |