Luis Merida, | |
400 N Pepper Ave, Colton, CA 92324-1801 | |
(909) 580-1000 | |
Not Available |
Full Name | Luis Merida |
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Gender | Male |
Speciality | Registered Nurse |
Location | 400 N Pepper Ave, Colton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114758281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95172512 (California) | Primary |
Entity Name | Inland Empire Anesthesia Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861502841 PECOS PAC ID: 1052310331 Enrollment ID: O20061214000268 |
Entity Name | Temecula Ca Endoscopy Asc Lp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285863696 PECOS PAC ID: 4981645678 Enrollment ID: O20090730000041 |
Entity Name | Temecula Ca United Surgery Center Lp |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1275951196 PECOS PAC ID: 9436465853 Enrollment ID: O20150831003140 |
Mailing Address | Practice Location Address |
---|---|
Luis Merida, 3285 Laval Ln, Riverside, CA 92503-8901 Ph: (562) 319-3037 | Luis Merida, 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1000 |
Cindy Cozart, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 | |
Linda Matthews, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3144 Fax: 909-580-2165 | |
Brandi Deuel, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3144 Fax: 909-580-2165 | |
Chique Lou Flores, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 | |
Patricia Abba, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 | |
Mimosa Tumang, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 | |
Edith Harris, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 |