| Ernest Holburt, MD | |
|
25500 Medical Center Dr, Murrieta, CA 92562-5965 | |
| (760) 731-3334 | |
| Not Available |
| Full Name | Ernest Holburt |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 25500 Medical Center Dr, Murrieta, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235193814 | NPI | - | NPPES |
| 00G471370 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0500X | Pathology - Cytopathology | G47137 (California) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G47137 (California) | Primary |
| Entity Name | Medical Laboratory Services Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063477461 PECOS PAC ID: 3173615036 Enrollment ID: O20080723000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Ernest Holburt, MD Po Box 10076, Van Nuys, CA 91410-0076 Ph: (805) 578-8300 | Ernest Holburt, MD 25500 Medical Center Dr, Murrieta, CA 92562-5965 Ph: (760) 731-3334 |
Duyet C Vo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 25500 Medical Center Dr, Murrieta, CA 92562 Phone: 760-731-3334 | |
Dr. Stephen Dongjin Oh, D.O. Pathology Medicare: Medicare Enrolled Practice Location: 29185 Branwin St, Murrieta, CA 92563 Phone: 312-636-9389 Fax: 951-200-6797 | |
Robert Veve, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 25500 Medical Center Dr, Murrieta, CA 92562 Phone: 760-731-3334 |