| Ilia Gur, MD | |
|
1225 E Latham Ave Ste A, Hemet, CA 92543-4423 | |
| (519) 766-0374 | |
| (951) 766-0601 |
| Full Name | Ilia Gur |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1225 E Latham Ave Ste A, Hemet, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598966186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | TRN11197 (Florida) | Secondary |
| 208600000X | Surgery | A107317 (California) | Primary |
| Entity Name | County Of San Joaquin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
| Entity Name | San Joaquin Faculty Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilia Gur, MD 1225 E Latham Ave Ste A, Hemet, CA 92543-4423 Ph: (951) 766-0374 | Ilia Gur, MD 1225 E Latham Ave Ste A, Hemet, CA 92543-4423 Ph: (519) 766-0374 |
Mohsen Zabetian, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2390 E Florida Ave, # 203, Hemet, CA 92544 Phone: 951-929-6260 Fax: 951-765-2855 | |
Ralph G Dreier, Surgery Medicare: Not Enrolled in Medicare Practice Location: 241 Laursen St, Hemet, CA 92543 Phone: 951-658-3258 Fax: 951-658-1299 | |
Surendra Kumar Sharma, MD Surgery Medicare: Medicare Enrolled Practice Location: 4020 W Florida Ave, Hemet, CA 92545 Phone: 951-652-3300 | |
Hege Johnsen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1280 E Latham Ave, Hemet, CA 92543 Phone: 951-766-1222 Fax: 951-766-1226 | |
Daniel Igwe Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2390 E Florida Ave, #103, Hemet, CA 92544 Phone: 951-766-0374 Fax: 951-766-0601 |