| Luca Vassalli, MD | |
|
225 E 2nd Ave, Escondido, CA 92025-4212 | |
| (760) 291-6700 | |
| Not Available |
| Full Name | Luca Vassalli |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 225 E 2nd Ave, Escondido, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467451880 | NPI | - | NPPES |
| 00G710490 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MD-6087 (Hawaii) | Secondary |
| 207Y00000X | Otolaryngology | G71049 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Graybill Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891729745 PECOS PAC ID: 9335050517 Enrollment ID: O20040108000857 |
| Mailing Address | Practice Location Address |
|---|---|
| Luca Vassalli, MD 225 E 2nd Ave, Escondido, CA 92025-4212 Ph: (760) 291-6700 | Luca Vassalli, MD 225 E 2nd Ave, Escondido, CA 92025-4212 Ph: (760) 291-6700 |
Dr. Marvin Martin Kripps, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 225 E 2nd Ave, Suite#202, Escondido, CA 92025 Phone: 760-747-5993 Fax: 760-747-3123 | |
Dr. James W. Ochi, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 225 East 2nd Ave, Escondido, CA 92025 Phone: 866-228-2236 | |
Saurabh B Shah, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 225 E 2nd Ave, Escondido, CA 92025 Phone: 760-291-6700 Fax: 760-737-7324 | |
Michael D. Morelock, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 225 E 2nd Ave, Suite 202, Escondido, CA 92025 Phone: 760-291-6799 Fax: 760-291-6949 |