| Umron Alkotob, DO | |
|
26520 Cactus Ave Ste 201, Moreno Valley, CA 92555-3927 | |
| (951) 486-5908 | |
| (951) 486-5910 |
| Full Name | Umron Alkotob |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 26520 Cactus Ave Ste 201, 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 |
|---|---|---|---|
| 1215519822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20499 (California) | Secondary |
| 207P00000X | Emergency Medicine | PTL1964 (California) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | Knd Development 59 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740519081 PECOS PAC ID: 3678602802 Enrollment ID: O20100724000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Umron Alkotob, DO 26520 Cactus Ave Ste 201, Moreno Valley, CA 92555-3927 Ph: (951) 486-5908 | Umron Alkotob, DO 26520 Cactus Ave Ste 201, Moreno Valley, CA 92555-3927 Ph: (951) 486-5908 |
Rolando D Sy, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 909-486-5650 | |
Jonathan David Palacios, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
John Cortelyou Naftel, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 909-486-5650 | |
Matthew B Underwood, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 909-486-5650 | |
Daniel Michael Roth, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5434 Fax: 951-486-5910 | |
Jackson Lu, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave Ste 201, Moreno Valley, CA 92555 Phone: 951-486-5908 |