| Karen J Kruger, MD | |
|
901 Nevin Ave, Richmond, CA 94801-3143 | |
| (510) 307-1500 | |
| Not Available |
| Full Name | Karen J Kruger |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 901 Nevin Ave, Richmond, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477638138 | NPI | - | NPPES |
| 00G699780 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | G69978 (California) | Primary |
| Entity Name | La Clinica De La Raza Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016 |
| Mailing Address | Practice Location Address |
|---|---|
| Karen J Kruger, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Karen J Kruger, MD 901 Nevin Ave, Richmond, CA 94801-3143 Ph: (510) 307-1500 |
Edward Eugene Mahl, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Haylene Anesoir, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Broadway, Suite 4, Richmond, CA 94804 Phone: 510-237-9537 | |
Anjana Ray, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Sarah Horner, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Jennifer An, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Harbour Way N, Richmond, CA 94804 Phone: 510-237-9537 | |
Susan Elizabeth Stephens Dierauf, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Kaiser Richmond Campus, Richmond, CA 94801 Phone: 510-307-1500 | |
Mankaah Acho, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1543 Fax: 510-307-2500 |