| Frederick L Orr, MD | |
| 400 N Pepper Ave, Colton, CA 92324-1801 | |
| (909) 580-1520 | |
| (909) 580-1561 | 
| Full Name | Frederick L Orr | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 400 N Pepper Ave, Colton, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295830321 | NPI | - | NPPES | 
| G17591 | Other | CA | STATE LICENSE | 
| 00G175910 | Medicaid | CA | 
| Entity Name | William M Kelly Md Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316125131 PECOS PAC ID: 5597746628 Enrollment ID: O20040525001738 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Frederick L Orr, MD Po Box 26060, Fresno, CA 93729-6060 Ph: (559) 455-4000 | Frederick L Orr, MD 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1520 | 
| Michael D Gentry, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 | |
| Dr. James Park, MD Radiology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2178 | |
| Chul H Chae, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 | |
| Chandler Shyu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Dept Of Radiology, Colton, CA 92324 Phone: 909-580-1520 | |
| Sylvia S Ortiz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 | |
| Thuan T Dang, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 |