Dr Martin Valera Consunji, MD | |
4004 Beyer Blvd, San Ysidro, CA 92173-2007 | |
(619) 662-4100 | |
Not Available |
Full Name | Dr Martin Valera Consunji |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 4004 Beyer Blvd, San Ysidro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033746029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A184620 (California) | Primary |
Entity Name | City Of Hope Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871886366 PECOS PAC ID: 3779751656 Enrollment ID: O20110720000244 |
Mailing Address | Practice Location Address |
---|---|
Dr Martin Valera Consunji, MD 4004 Beyer Blvd, San Ysidro, CA 92173-2007 Ph: () - | Dr Martin Valera Consunji, MD 4004 Beyer Blvd, San Ysidro, CA 92173-2007 Ph: (619) 662-4100 |
Sharonya Shrivastava, Internal Medicine Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Andrea Helen Polesky, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Jerry Chun-han Chen, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Michele A. Lamantia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro Health Center, San Ysidro, CA 92173 Phone: 619-917-7122 Fax: 619-474-3722 | |
Ms. Kelley Alexis Butler, MD, MPH Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4050 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Dr. Chitra Fernando, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3364 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 |