John Gaspar Agtuca, DO | |
6900 Brockton Ave Ste 100, Riverside, CA 92506-3817 | |
(951) 781-3800 | |
(951) 781-1973 |
Full Name | John Gaspar Agtuca |
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Gender | Male |
Speciality | Internal Medicine |
Location | 6900 Brockton Ave Ste 100, Riverside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1306200183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20A16933 (California) | Primary |
Entity Name | Citrus Valley Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306033709 PECOS PAC ID: 0446329932 Enrollment ID: O20080523000551 |
Entity Name | Platinum Providers Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275018392 PECOS PAC ID: 0941634927 Enrollment ID: O20191227002153 |
Mailing Address | Practice Location Address |
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John Gaspar Agtuca, DO Po Box 5089, Norco, CA 92860-8003 Ph: () - | John Gaspar Agtuca, DO 6900 Brockton Ave Ste 100, Riverside, CA 92506-3817 Ph: (951) 781-3800 |
Sang Kun Yim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-683-6370 | |
Sarah Chae, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4646 Brockton Ave Ste 201, Riverside, CA 92506 Phone: 951-585-1800 Fax: 951-585-1801 | |
Alina S Popa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3636 | |
Richard M. Bradburne, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Shelly C. Thio, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Fawaz Gailani, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Andrew Duke, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3000 |