| Raul Ordorica, MD | |
| 10800 Magnolia Ave, Riverside, CA 92505-3043 | |
| (951) 353-5019 | |
| Not Available | 
| Full Name | Raul Ordorica | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 10800 Magnolia Ave, Riverside, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235159773 | NPI | - | NPPES | 
| 42557 | Other | FL | BLUE CROSS BLUE SHIELD | 
| 253819900 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | ME73752 (Florida) | Secondary | 
| 208800000X | Urology | G62037 (California) | Primary | 
| Entity Name | Southern California Permanente Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 | 
| Entity Name | Southern California Permanente Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Raul Ordorica, MD 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (951) 353-5019 | Raul Ordorica, MD 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (951) 353-5019 | 
| Brandon Garret Louie, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4244 Riverwalk Pkwy Ste 240, Riverside, CA 92505 Phone: 951-509-3580 Fax: 951-509-4552 | |
| Dr. Lincoln J Maynes, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Kaiser Permanente Riverside Medical Center, Mob-2, Riverside, CA 92505 Phone: 951-353-3230 Fax: 951-353-5762 | |
| Alex G Batta, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-782-3671 Fax: 951-784-3264 | |
| Eric J. Forneret, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
| Aravind Chandrashekar, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 866-984-7483 | |
| Benjamin Kattle Yang, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave., Riverside, CA 92506 Phone: 951-782-3696 Fax: 951-784-3264 |