Matthew Jon Lelegren, MD | |
206 S Stratford Ave Ste A, Santa Maria, CA 93454-5901 | |
(805) 928-5767 | |
(805) 349-0222 |
Full Name | Matthew Jon Lelegren |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 206 S Stratford Ave Ste A, Santa Maria, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508361296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 2023-01466 (North Carolina) | Secondary |
207Y00000X | Otolaryngology | A194090 (California) | Primary |
Entity Name | University Of North Carolina At Chapel Hill |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
Mailing Address | Practice Location Address |
---|---|
Matthew Jon Lelegren, MD 206 S Stratford Ave Ste A, Santa Maria, CA 93454-5901 Ph: (805) 928-5767 | Matthew Jon Lelegren, MD 206 S Stratford Ave Ste A, Santa Maria, CA 93454-5901 Ph: (805) 928-5767 |
Dr. Raymund J Llaurado, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 220 S Palisade Dr, Suite 102, Santa Maria, CA 93454 Phone: 805-922-6641 Fax: 805-922-5927 | |
Garabed Messrobain, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 116 S Palisade Dr, Ste 206, Santa Maria, CA 93454 Phone: 805-347-9992 Fax: 805-614-9260 | |
Richard P Wikholm, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 116 S Palisade Dr, Ste 206, Santa Maria, CA 93454 Phone: 805-614-9250 Fax: 805-614-9260 |