| Liza Gill, MD | |
|
12565 Hesperia Rd Ste 3, Victorville, CA 92395-8318 | |
| (760) 780-0003 | |
| (760) 766-1908 |
| Full Name | Liza Gill |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 11 Years |
| Location | 12565 Hesperia Rd Ste 3, Victorville, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508240458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A159076 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Desert Valley Medical Group Inc | 4880595875 | 70 |
| Oasis Dermatology Inc | 7517318413 | 2 |
| Entity Name | Skinphysicians & Surgeons Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356411524 PECOS PAC ID: 3971401126 Enrollment ID: O20031223000872 |
| Entity Name | Desert Valley Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639117864 PECOS PAC ID: 4880595875 Enrollment ID: O20040113000803 |
| Entity Name | Oasis Dermatology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043090582 PECOS PAC ID: 7517318413 Enrollment ID: O20240104002631 |
| Mailing Address | Practice Location Address |
|---|---|
| Liza Gill, MD 12565 Hesperia Rd Ste 3, Victorville, CA 92395-8318 Ph: (760) 780-0003 | Liza Gill, MD 12565 Hesperia Rd Ste 3, Victorville, CA 92395-8318 Ph: (760) 780-0003 |
Hai T Tran, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 12611 Hesperia Rd, Suite A, Victorville, CA 92395 Phone: 760-951-8714 Fax: 760-951-7134 | |
Keith Mark Gross, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12550 Hesperia Rd, 400, Victorville, CA 92395 Phone: 909-335-8638 Fax: 909-335-8644 |