| Sean Kirby Degmetich, STUDENT | |
|
26520 Cactus Ave, Moreno Valley, CA 92555-3927 | |
| (951) 486-4397 | |
| Not Available |
| Full Name | Sean Kirby Degmetich |
|---|---|
| Gender | Male |
| Speciality | Surgery - Trauma Surgery |
| Location | 26520 Cactus Ave, Moreno Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518344878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0127X | Surgery - Trauma Surgery | A146573 (California) | Primary |
| Entity Name | Surgical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366824161 PECOS PAC ID: 6002110814 Enrollment ID: O20160215001177 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Kirby Degmetich, STUDENT 8947 Redwater Dr, Antelope, CA 95843-4981 Ph: (916) 709-1102 | Sean Kirby Degmetich, STUDENT 26520 Cactus Ave, Moreno Valley, CA 92555-3927 Ph: (951) 486-4397 |
Dr. Chinwe Sonia Kpaduwa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Lung-ching Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Dr. Paul T Albini, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-468-4175 | |
Vicente Omar Ramos Santillan, MD Surgery Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 909-486-4000 | |
Dr. Stephanie Rae Downing, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Joe Luis Pantoja, MD Surgery Medicare: Medicare Enrolled Practice Location: 27200 Iris Ave # Mob2, Moreno Valley, CA 92555 Phone: 951-897-5671 | |
Dr. Nathaniel Stanley Fung, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5177 |