| Luis Enrique Verduzco, | |
|
900 Main St, Brawley, CA 92227-2630 | |
| (818) 617-3137 | |
| Not Available |
| Full Name | Luis Enrique Verduzco |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 900 Main St, Brawley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811456742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A180721 (California) | Primary |
| Entity Name | Clinicas De Salud Del Pueblo Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346313889 PECOS PAC ID: 5496657082 Enrollment ID: O20071201000158 |
| Entity Name | Tyson Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376053843 PECOS PAC ID: 3072870112 Enrollment ID: O20171128003449 |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Enrique Verduzco, 900 Main St, Brawley, CA 92227-2630 Ph: (818) 617-3137 | Luis Enrique Verduzco, 900 Main St, Brawley, CA 92227-2630 Ph: (818) 617-3137 |
Dr. Shirish K Balachandra, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Brawley, CA 92227 Phone: 858-327-4943 | |
Yong Tan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 West Legion Road, Suite 102, Brawley, CA 92227 Phone: 760-351-8696 Fax: 760-545-0253 | |
Sunny R Richley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 W Legion Rd Ste 103, Brawley, CA 92227 Phone: 760-341-4400 | |
Mr. Lorenzo H Suarez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 S 5th St, Brawley, CA 92227 Phone: 760-344-8100 Fax: 866-493-3117 |