| Dr Paul M Whiteside, MD | |
|
7223 Church St, #c, Highland, CA 92346-5869 | |
| (909) 862-1191 | |
| (909) 796-4158 |
| Full Name | Dr Paul M Whiteside |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 7223 Church St, Highland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861432874 | NPI | - | NPPES |
| 00A353530 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A35353 (California) | Primary |
| Entity Name | Beaver Medical Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul M Whiteside, MD Po Box 2200, Redlands, CA 92373-0722 Ph: (909) 793-3311 | Dr Paul M Whiteside, MD 7223 Church St, #c, Highland, CA 92346-5869 Ph: (909) 862-1191 |
Raymond Sedgh, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 | |
Paul P Pham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Steve C Na, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Anh The Nong, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Hao Ngoc Thai, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 27843 Rainbow Ln, Highland, CA 92346 Phone: 909-838-7061 | |
Dr. Audrey Chu Yun, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Philip W Lee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 |