| Reyna Lucero Valle Mariscal, | |
|
1505 Ridlon Ln, Ceres, CA 95307-9360 | |
| (209) 496-8869 | |
| Not Available |
| Full Name | Reyna Lucero Valle Mariscal |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 1505 Ridlon Ln, Ceres, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689221483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Laser Center Pc A Professional Medical Corporation | 9537181185 | 81 |
| 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 | La Laser Center PC a Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306982855 PECOS PAC ID: 9537181185 Enrollment ID: O20051222000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Reyna Lucero Valle Mariscal, 1505 Ridlon Ln, Ceres, CA 95307-9360 Ph: (209) 496-8869 | Reyna Lucero Valle Mariscal, 1505 Ridlon Ln, Ceres, CA 95307-9360 Ph: (209) 496-8869 |
Shobha Rajendra Patel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3109 E Whitmore Ave, Ceres, CA 95307 Phone: 209-541-2929 |
Dylan John Pinatelli, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2519 E Whitmore Ave, Ceres, CA 95307 Phone: 209-537-4700 |
Vlascovia Marlene Velasco Rios, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2760 3rd St, Ceres, CA 95307 Phone: 209-556-5011 Fax: 209-556-5095 |
Ashlena Dass, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1904 Richland Ave, Ceres, CA 95307 Phone: 209-300-8800 |
Gurpreet Kaur Bhullar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2516 E Whitmore Ave, Ceres, CA 95307 Phone: 209-538-1733 |