| Dr Miguel Krishnan, DO | |
|
11234 Anderson St, Suite 2592, Loma Linda, CA 92354-2804 | |
| (772) 618-9714 | |
| (772) 618-9714 |
| Full Name | Dr Miguel Krishnan |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology - Pediatric Otolaryngology |
| Location | 11234 Anderson St, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407958390 | NPI | - | NPPES |
| 00AX89960 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 20A8996 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Miguel Krishnan, DO Po Box 235, Loma Linda, CA 92354-0235 Ph: (772) 618-9714 | Dr Miguel Krishnan, DO 11234 Anderson St, Suite 2592, Loma Linda, CA 92354-2804 Ph: (772) 618-9714 |
Dr. Steven D. Rauch, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste 2100, Loma Linda, CA 92354 Phone: 909-558-4368 | |
John Y Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 2100, Loma Linda, CA 92354 Phone: 909-558-2822 | |
Vikrum Thimmappa, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92350 Phone: 909-558-4000 | |
Khanh K Nguyen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8558 | |
Max Feng, Otolaryngology Medicare: Medicare Enrolled Practice Location: Loma Linda University Health Otolaryngology, 11234 Anderson Street, Loma Linda, CA 92354 Phone: 909-558-2600 | |
Liyang Tang, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Loma Linda, CA 92354 Phone: 909-558-2822 | |
Anne Kristin Maxwell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste 2100, Loma Linda, CA 92354 Phone: 909-558-7884 Fax: 909-558-4819 |