| Dr Prasanna Bastola, MD | |
|
1023 E Florida Ave, Hemet, CA 92543-4510 | |
| (951) 599-8403 | |
| (951) 766-0930 |
| Full Name | Dr Prasanna Bastola |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1023 E Florida Ave, Hemet, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831750306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A177433 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prasanna Bastola, MD 1023 E Florida Ave, Hemet, CA 92543-4510 Ph: (951) 599-8403 | Dr Prasanna Bastola, MD 1023 E Florida Ave, Hemet, CA 92543-4510 Ph: (951) 599-8403 |
Thomas Paul Mohr, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1285 S State St, Hemet, CA 92543 Phone: 951-765-1777 Fax: 951-765-1772 | |
Dr. Sharon Kay Knepfler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1285 S State St, Hemet, CA 92543 Phone: 951-765-1777 Fax: 951-765-1772 | |
Veronica Elizabeth Reinherz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1285 S State St, Hemet, CA 92543 Phone: 951-765-1777 Fax: 951-765-1772 | |
Ms. Albertina D Smith-banks, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1023 E Florida Ave, Hemet, CA 92543 Phone: 951-599-8403 Fax: 951-766-0930 | |
Jennifer Caroline Keith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1285 S State St, Hemet, CA 92543 Phone: 951-765-1777 Fax: 951-765-1772 | |
Vidhyalakshmi Koka, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 422 N San Jacinto St, Hemet, CA 92543 Phone: 941-665-1100 Fax: 888-696-2590 | |
Donna L Hines, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1285 S State St, Hemet, CA 92543 Phone: 951-765-1777 Fax: 866-390-9161 |