| Michelle Dominique De Santo, DO | |
|
1001 S Garfield Ave, Alhambra, CA 91801-4772 | |
| (818) 788-4513 | |
| Not Available |
| Full Name | Michelle Dominique De Santo |
|---|---|
| Gender | Female |
| Speciality | Osteopathic Manipulative Medicine |
| Experience | 16 Years |
| Location | 1001 S Garfield Ave, Alhambra, 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 |
|---|---|---|---|
| 1104194299 | NPI | - | NPPES |
| 20A12005 | Other | CA | OSTEOPATHIC MEDICAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 20A12005 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice By The Bay | Larkspur, CA | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Dominique De Santo, DO 1001 S Garfield Ave, Alhambra, CA 91801-4772 Ph: () - | Michelle Dominique De Santo, DO 1001 S Garfield Ave, Alhambra, CA 91801-4772 Ph: (818) 788-4513 |
Dr. Prasert Basil Vassantachart, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 841 W Valley Blvd, Suite 104, Alhambra, CA 91803 Phone: 626-282-3113 Fax: 626-289-9179 | |
Mr. Winfred John Lee, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 88 E Bay State St, 1-n, Alhambra, CA 91801 Phone: 626-293-1664 | |
Dr. Jonathan Yun-hong Wu, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 55 S Raymond Ave Ste 105, Alhambra, CA 91801 Phone: 626-289-9004 Fax: 626-289-8952 |