| Luqman Nasouf, | |
|
26520 Cactus Ave, Moreno Valley, CA 92555-3927 | |
| (310) 408-9794 | |
| Not Available |
| Full Name | Luqman Nasouf |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 26520 Cactus Ave, Moreno Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962908202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | A166040 (California) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | A166040 (California) | Secondary |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Mailing Address | Practice Location Address |
|---|---|
| Luqman Nasouf, 26520 Cactus Ave, Moreno Valley, CA 92555-3927 Ph: () - | Luqman Nasouf, 26520 Cactus Ave, Moreno Valley, CA 92555-3927 Ph: (310) 408-9794 |
Mr. Roger Courtney Garrison, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5700 Fax: 951-486-5705 | |
Dr. Lynnetta E Skoretz, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4640 Fax: 951-571-8938 | |
Dr. Sharina Mary Mapleton, D.O. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 27200 Iris Ave, Mob2, Moreno Valley, CA 92555 Phone: 951-353-2000 | |
Made Sutjita, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5700 Fax: 951-486-5705 | |
Eunwoo Park, M.D. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Gamal F Ghaly, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 14114 Business Center Dr. Ste. G, Moreno Valley, CA 92553 Phone: 951-656-5333 Fax: 951-656-6789 | |
Dr. John-vincent Arcilla, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 |