| Mrs Rebecca Lynn Mobley, RN | |
|
400 N Pepper Ave, Colton, CA 92324-1801 | |
| (909) 580-2440 | |
| Not Available |
| Full Name | Mrs Rebecca Lynn Mobley |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| 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 |
|---|---|---|---|
| 1770975302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 660348 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95000317 (California) | Primary |
| Entity Name | Inland Empire Anesthesia Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861502841 PECOS PAC ID: 1052310331 Enrollment ID: O20061214000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rebecca Lynn Mobley, RN 15214 Lafayette Way, Tustin, CA 92782-1772 Ph: (714) 273-0691 | Mrs Rebecca Lynn Mobley, RN 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-2440 |
Mr. Richard William Reis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 North Pepper Avenue 2nd Floor, Anesthesia Dept., Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441 | |
Elizabeth Karenina Manullang, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 877-873-2762 | |
Ivan Stiger, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440 | |
Mr. Michael T Reid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 E Washington St, Ste. 100, Colton, CA 92324 Phone: 909-370-2190 | |
Daniel Hioe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440 | |
Mr. Dale Arthur Reile, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave Fl 2, Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441 | |
Joyce Israel, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440 |