| Rainer Guerra Bansuan, MD | |
|
3102 E Highland Ave, Patton, CA 92369-7813 | |
| (909) 815-0965 | |
| Not Available |
| Full Name | Rainer Guerra Bansuan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Adolescent Medicine |
| Location | 3102 E Highland Ave, Patton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336258037 | NPI | - | NPPES |
| 00A510212 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | 207QA51021 (California) | Primary |
| Entity Name | Department Of State Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
| Entity Name | State Of California - Department Of Developmental Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154372498 PECOS PAC ID: 4082788732 Enrollment ID: O20081114000496 |
| Mailing Address | Practice Location Address |
|---|---|
| Rainer Guerra Bansuan, MD 17060 Estoril St, Chino Hills, CA 91709-4105 Ph: (909) 815-0965 | Rainer Guerra Bansuan, MD 3102 E Highland Ave, Patton, CA 92369-7813 Ph: (909) 815-0965 |
Marianita Aralar Raymundo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7000 | |
Mrs. Stephanie Anh-hang Nguyen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7679 Fax: 909-425-6635 | |
Trang Tran, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7679 Fax: 909-425-6635 | |
Dr. Mark T Keidel, M.D., MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 3102 E Highland Ave # Admin150, Patton, CA 92369 Phone: 909-425-7000 Fax: 909-425-6169 | |
Dr. Robert Lin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3102 E Highland Ave, Patton Medical Services, Patton, CA 92369 Phone: 909-425-7000 | |
Dr. Mohamed Amr Hafez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7679 Fax: 909-425-6635 |