| Rachelle Elene Wareham, MD | |
| 
					11234 Anderson St, Loma Linda, CA 92354-2804  | |
| (909) 558-8558 | |
| Not Available | 
| Full Name | Rachelle Elene Wareham | 
|---|---|
| Gender | Female | 
| Speciality | Otolaryngology | 
| Location | 11234 Anderson St, Loma Linda, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548448053 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Y00000X | Otolaryngology | A94413 (California) | Primary | 
| Entity Name | Valley Childrens Specialty Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013968296 PECOS PAC ID: 9638072614 Enrollment ID: O20040128000542  | 
| Entity Name | Valley Childrens Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Rachelle Elene Wareham, MD 282 Washington St, Hartford, CT 06106-3322 Ph: (860) 837-5887  | Rachelle Elene Wareham, MD 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (909) 558-8558  | 
Dr. Steven D. Rauch, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste 2100, Loma Linda, CA 92354 Phone: 909-558-4368  | |
John Y Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 2100, Loma Linda, CA 92354 Phone: 909-558-2822  | |
Vikrum Thimmappa, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92350 Phone: 909-558-4000  | |
Khanh K Nguyen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8558  | |
Max Feng,  Otolaryngology Medicare: Medicare Enrolled Practice Location: Loma Linda University Health Otolaryngology, 11234 Anderson Street, Loma Linda, CA 92354 Phone: 909-558-2600  | |
Liyang Tang, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 11370 Anderson St, Loma Linda, CA 92354 Phone: 909-558-2822  | |
Anne Kristin Maxwell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste 2100, Loma Linda, CA 92354 Phone: 909-558-7884 Fax: 909-558-4819  |