| Mrs Xenia Kruse, PA | |
|
1000 S Fremont Ave Bldg A-11, Alhambra, CA 91803-8800 | |
| (909) 451-3432 | |
| Not Available |
| Full Name | Mrs Xenia Kruse |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1000 S Fremont Ave Bldg A-11, Alhambra, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376288647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363A00000X | Physician Assistant | PA61529 (California) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | Corona Regional Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134629298 PECOS PAC ID: 9133481484 Enrollment ID: O20180326001396 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Xenia Kruse, PA Po Box 945, Monrovia, CA 91017-0945 Ph: Not Available | Mrs Xenia Kruse, PA 1000 S Fremont Ave Bldg A-11, Alhambra, CA 91803-8800 Ph: (909) 451-3432 |
Jessica Lee Palmer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave Ste N10100, Alhambra, CA 91803 Phone: 626-457-4240 |
Krystal Espinoza, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave, Alhambra, CA 91803 Phone: 626-457-4240 |
Sonya Tang, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1024 S Garfield Ave, Alhambra, CA 91801 Phone: 626-289-5181 |
Jaspreet Kaur, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 South Fremont Avenue Unit 7, Bldg. A10, Ste.n10100, Alhambra, CA 91803 Phone: 626-457-4240 |
Courtney Boucher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 503 N Story Pl, Alhambra, CA 91801 Phone: 626-484-6732 |
Monica Khun, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1668 S Garfield Ave Fl 2, Alhambra, CA 91801 Phone: 626-943-6476 Fax: 626-900-9558 |
Jack Theodore Ezzedine, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave, Alhambra, CA 91803 Phone: 626-457-4240 |