| Kristofer Abejuela, | |
|
2158 Derringer Ln, Diamond Bar, CA 91765-3333 | |
| (909) 861-3358 | |
| Not Available |
| Full Name | Kristofer Abejuela |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2158 Derringer Ln, Diamond Bar, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194122234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 52120 (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 | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | County of Riverside |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristofer Abejuela, 2158 Derringer Ln, Diamond Bar, CA 91765-3333 Ph: Not Available | Kristofer Abejuela, 2158 Derringer Ln, Diamond Bar, CA 91765-3333 Ph: (909) 861-3358 |
Keli Layton-cunnigan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1514 Valley Vista Dr, Diamond Bar, CA 91765 Phone: 909-860-1144 |
Lesley Kongaika, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2737 Sunbright Dr, Diamond Bar, CA 91765 Phone: 562-366-6972 |
Denette Munchel, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1514 Valley Vista Dr, Diamond Bar, CA 91765 Phone: 909-860-1144 Fax: 909-860-8307 |
Teresa Anderson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 S Diamond Bar Blvd Ste 201, Diamond Bar, CA 91765 Phone: 909-860-7600 |
Lynn Akemi Uchizono, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3220 S Brea Canyon Rd Ste H, Diamond Bar, CA 91765 Phone: 909-594-1848 |
Tammy M Chen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 888 Brea Canyon Rd, Diamond Bar, CA 91789 Phone: 909-594-3382 Fax: 626-667-7633 |
Mrs. Sakina Abowath, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 23525 Golden Springs Dr Ste A, Diamond Bar, CA 91765 Phone: 909-860-7600 Fax: 909-860-3100 |