| Ronald W Cotliar, MD | |
|
13420 Newport Ave, Suite G, Tustin, CA 92780-3745 | |
| (714) 731-0061 | |
| (714) 731-0164 |
| Full Name | Ronald W Cotliar |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 13420 Newport Ave, Tustin, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932192572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | G25069 (California) | Primary |
| Entity Name | Uc Regents |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982667663 PECOS PAC ID: 4587568829 Enrollment ID: O20031119001005 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald W Cotliar, MD 13420 Newport Ave, Suite G, Tustin, CA 92780-3745 Ph: (714) 731-0061 | Ronald W Cotliar, MD 13420 Newport Ave, Suite G, Tustin, CA 92780-3745 Ph: (714) 731-0061 |
Dr. Beena Kazi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14971 Holt Ave, Tustin, CA 92780 Phone: 949-356-7676 | |
Dr. Dawn L Bruner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13132 Newport Ave, 100, Tustin, CA 92780 Phone: 714-565-7960 Fax: 714-565-7982 | |
Paul Genser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878 | |
James P Morley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878 Fax: 714-838-8988 | |
Dr. Norah Gutrecht, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13132 Newport Ave, 100, Tustin, CA 92780 Phone: 714-565-7960 Fax: 714-565-7982 | |
Dr. Ernest Daniel Mackey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13132 Newport Ave, 100, Tustin, CA 92780 Phone: 714-565-7960 Fax: 714-565-7982 | |
Dr. Michael Wayland Cater, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13132 Newport Ave, 100, Tustin, CA 92780 Phone: 714-565-7960 Fax: 714-565-7982 |