Sandra Gildersleeve, MD | |
1941 Huntington Dr Ste C, South Pasadena, CA 91030-4994 | |
(626) 514-0315 | |
Not Available |
Full Name | Sandra Gildersleeve |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1941 Huntington Dr Ste C, South Pasadena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881091551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A129639 (California) | Primary |
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
Entity Name | The Huntington Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154467181 PECOS PAC ID: 4587631601 Enrollment ID: O20040923000968 |
Mailing Address | Practice Location Address |
---|---|
Sandra Gildersleeve, MD 1941 Huntington Dr Ste C, South Pasadena, CA 91030-4994 Ph: (626) 344-7830 | Sandra Gildersleeve, MD 1941 Huntington Dr Ste C, South Pasadena, CA 91030-4994 Ph: (626) 514-0315 |
Brian Wong, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 425 Fair Oaks Ave, Ste 175, South Pasadena, CA 91030 Phone: 626-598-3770 Fax: 626-598-3797 | |
Harry Max Lieberman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1944 Milan Ave, South Pasadena, CA 91030 Phone: 626-487-9310 Fax: 626-441-3159 | |
Norianne Martinez Pimentel-piatt, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 625 Fair Oaks Ave Ste 175, South Pasadena, CA 91030 Phone: 626-598-3770 |