Daryl Tadashi Kubotsu, PA | |
7117 Brockton Ave, Riverside, CA 92506-2615 | |
(951) 782-3853 | |
(951) 784-3269 |
Full Name | Daryl Tadashi Kubotsu |
---|---|
Gender | Male |
Speciality | Physician Assistant - Medical |
Location | 7117 Brockton Ave, Riverside, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558344465 | NPI | - | NPPES |
1730180415 | Other | GROUP NPI# | |
ZZZ318872 | Other | GROUP SITE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | PA12055 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Daryl Tadashi Kubotsu, PA 3660 Arlington Ave, Riverside, CA 92506-3912 Ph: (951) 782-3853 | Daryl Tadashi Kubotsu, PA 7117 Brockton Ave, Riverside, CA 92506-2615 Ph: (951) 782-3853 |
Mr. David W Levine, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3381 | |
Lissette G Lopez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9939 Magnolia Ave, Riverside, CA 92503 Phone: 818-282-5894 | |
Mr. Travis William Cruz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9525 Los Amigos Court, Riverside, CA 92508 Phone: 951-250-1475 | |
Kevin Morris, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7101 Magnolia Ave Ste A, Riverside, CA 92504 Phone: 951-682-9780 Fax: 951-682-9787 | |
Patrick T Mc Gill, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Colleen Zumaran Jewess, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9041 Magnolia Ave Ste 206, Riverside, CA 92503 Phone: 951-354-2220 | |
Wilfredo Martinez, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 5430 Arlington Ave, Riverside, CA 92504 Phone: 951-689-2955 Fax: 951-689-2477 |