| Kerstin Nolan, | |
|
9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | |
| (858) 554-1212 | |
| (858) 795-1195 |
| Full Name | Kerstin Nolan |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 9850 Genesee Ave Ste 320, La Jolla, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831758259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD478359 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | A196945 (California) | Primary |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerstin Nolan, 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 Ph: (858) 554-1212 | Kerstin Nolan, 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 Ph: (858) 554-1212 |
Alexa Chavez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9300 Campus Point Dr # Mc7196, La Jolla, CA 92037 Phone: 858-657-7539 | |
Dr. Stacie Sanmiguel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9500 Gilman Dr # Mc-0039, La Jolla, CA 92093 Phone: 858-822-4757 Fax: 858-534-7545 | |
Dr. James Donald Dibdin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 505 Coast Blvd South # 408, La Jolla, CA 92037 Phone: 858-459-7788 | |
Dr. Rhodaline Tootell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, Ste 320, La Jolla, CA 92037 Phone: 858-554-1212 | |
Dr. Seymour Myers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave Ste 320, La Jolla, CA 92037 Phone: 858-554-1212 Fax: 858-554-1222 | |
Dr. Nicholas Canelo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave Ste 320, La Jolla, CA 92037 Phone: 858-554-1212 | |
Dr. Rhona H Fink, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9898 Genesee Ave, La Jolla, CA 92037 Phone: 858-824-5383 Fax: 858-964-3125 |