| Sujan K Sandhu, MD | |
|
2067 W Vista Way, Suite 180, Vista, CA 92083-6031 | |
| (760) 945-3434 | |
| (760) 945-6761 |
| Full Name | Sujan K Sandhu |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2067 W Vista Way, Vista, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649579384 | NPI | - | NPPES |
| 00A110410 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A110410 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Sujan K Sandhu, MD 2067 W Vista Way, Suite 180, Vista, CA 92083-6031 Ph: (760) 945-3434 | Sujan K Sandhu, MD 2067 W Vista Way, Suite 180, Vista, CA 92083-6031 Ph: (760) 945-3434 |
Michael D Krak, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2067 W Vista Way Ste 280, Vista, CA 92083 Phone: 760-941-3630 Fax: 760-941-1214 | |
Lynette M Asselin, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way Ste 280, Vista, CA 92083 Phone: 760-941-3630 Fax: 760-941-1214 | |
Nassrin Rahimi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3892 | |
Dr. Robert E Fredricks, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713 | |
Dr. Veronica L Naudin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way, Suite 180, Vista, CA 92083 Phone: 760-945-3434 Fax: 760-945-6761 | |
Yves B. Terrazas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 | |
Dr. Valerie Marie Michelotti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 |