| Jacqueline Say Sevilla, MD | |
|
81-715 Doctor Carreon Boulevard, Suite A-1, Indio, CA 92201-0601 | |
| (760) 323-9309 | |
| (760) 610-8995 |
| Full Name | Jacqueline Say Sevilla |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 81-715 Doctor Carreon Boulevard, Indio, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518023209 | NPI | - | NPPES |
| GR0042690 | Medicaid | CA | |
| 00A878370 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A87837 (California) | Primary |
| Entity Name | Clinicas De Salud Del Pueblo Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346313889 PECOS PAC ID: 5496657082 Enrollment ID: O20071201000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Say Sevilla, MD 81-715 Doctor Carreon Boulevard, Suite A-1, Indio, CA 92201-0601 Ph: (760) 342-2295 | Jacqueline Say Sevilla, MD 81-715 Doctor Carreon Boulevard, Suite A-1, Indio, CA 92201-0601 Ph: (760) 323-9309 |
Dr. David A. Coy, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 81767 Doctor Carreon Blvd, Indio, CA 92201 Phone: 760-555-0155 | |
Dr. Dennis Frank Roberts, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 81767 Dr Carreon Blvd, Ste 200, Indio, CA 92201 Phone: 760-342-6407 Fax: 760-347-4617 | |
Dr. Benjamin Izsak, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 81715 Doctor Carreon Blvd Ste A1, Indio, CA 92201 Phone: 760-342-2295 Fax: 760-342-1415 |