| Andrea Rida, | |
|
11234 Anderson St # 2562b, Loma Linda, CA 92354-2804 | |
| (909) 558-4479 | |
| Not Available |
| Full Name | Andrea Rida |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 11234 Anderson St # 2562b, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629541354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (NU) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Faculty Physicians and Surgeons of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Rida, 1084 Vista Lomas Ln, Corona, CA 92882-3629 Ph: (909) 373-6775 | Andrea Rida, 11234 Anderson St # 2562b, Loma Linda, CA 92354-2804 Ph: (909) 558-4479 |
Mr. Randal Keith Gilman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92350 Phone: 909-558-4475 Fax: 909-558-4143 |
Ms. Jocelyn Isabel Castaneda, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 24785 Anderson St, Loma Linda, CA 92354 Phone: 909-558-7294 |
Elaine Marie Legaspi, Physician Assistant Medicare: Medicare Enrolled Practice Location: 10859 Heirloom Way, Loma Linda, CA 92354 Phone: 626-347-5904 |
Manjot Kaur, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11175 Campus St, Loma Linda, CA 92350 Phone: 909-558-1000 |
Liming Bu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25333 Barton Rd, Loma Linda, CA 92350 Phone: 909-558-6641 |
Minh Anh Luong Maina, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600 |
Marque R Dietzler, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4444 |