| Emmeline R Pulido, MD | |
|
33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | |
| (909) 795-9747 | |
| Not Available |
| Full Name | Emmeline R Pulido |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 33758 Yucaipa Blvd, Yucaipa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174543938 | NPI | - | NPPES |
| 00G665230 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | G66523 (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 |
|---|---|
| Emmeline R Pulido, MD Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 579-3203 | Emmeline R Pulido, MD 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 Ph: (909) 795-9747 |
Dr. James Andrew Washington Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 33353 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-790-5071 | |
Mrs. Christy Lee Gorden, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 33353 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-790-7900 Fax: 909-790-7058 | |
Karen Winston, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747 | |
Dr. Autumn Patricia Clos, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 33353 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-790-7900 |