| Srivarshini Cherukupalli Mohan, MD | |
|
2151 N Harbor Blvd Ste 3200, Fullerton, CA 92835-3826 | |
| (714) 446-5900 | |
| (714) 446-5240 |
| Full Name | Srivarshini Cherukupalli Mohan |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 2151 N Harbor Blvd Ste 3200, Fullerton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710379532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | U9314 (Texas) | Secondary |
| 208600000X | Surgery | A165878 (California) | Primary |
| Entity Name | Physicians Referral Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953 |
| Mailing Address | Practice Location Address |
|---|---|
| Srivarshini Cherukupalli Mohan, MD 2151 N Harbor Blvd Ste 3200, Fullerton, CA 92835-3826 Ph: (714) 446-5900 | Srivarshini Cherukupalli Mohan, MD 2151 N Harbor Blvd Ste 3200, Fullerton, CA 92835-3826 Ph: (714) 446-5900 |
Razmik Ghukasyan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835 Phone: 714-408-4249 Fax: 714-525-0123 | |
Dr. Courtney Anne Vito, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd Ste 33001, Fullerton, CA 92835 Phone: 714-446-5296 Fax: 714-665-4690 | |
Michael Tsinberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835 Phone: 714-626-8630 Fax: 714-626-8659 | |
Dong Hum Yoon, MD Surgery Medicare: Medicare Enrolled Practice Location: 1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835 Phone: 714-408-4249 | |
John Nastasi, Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835 Phone: 714-778-1032 | |
Amanda C Purdy, MD Surgery Medicare: Medicare Enrolled Practice Location: 1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835 Phone: 714-408-4249 | |
Dr. Robert Emmitt Mccoy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 Sunnycrest Dr, Ste 2600, Fullerton, CA 92835 Phone: 714-446-5260 Fax: 714-446-5265 |