| Robert W Krochalis-soliani, PA-C | |
|
600 Main St., Soledad, CA 93960-2655 | |
| (831) 678-2665 | |
| (831) 678-8411 |
| Full Name | Robert W Krochalis-soliani |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 600 Main St., Soledad, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366452260 | NPI | - | NPPES |
| PA17484 | Other | CA | LICENSE |
| Entity Name | Southern California Primary Care Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376632281 PECOS PAC ID: 5698701472 Enrollment ID: O20050713000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert W Krochalis-soliani, PA-C 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 Ph: (951) 244-3500 | Robert W Krochalis-soliani, PA-C 600 Main St., Soledad, CA 93960-2655 Ph: (831) 678-2665 |
Irma Favela-slater, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2524 H Dela Rosa Sr St, Soledad, CA 93960 Phone: 831-678-8899 Fax: 831-678-4545 |
Mirna G. Valdovinos, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 799 Front St, Soledad, CA 93960 Phone: 831-678-0881 Fax: 831-678-2803 |
Ms. Lindsay Riley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 799 Front St, Soledad, CA 93960 Phone: 702-622-0924 |
Yolanda Sandoval, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 359 Gabilan Dr, Soledad, CA 93960 Phone: 831-769-8740 |
Jorge M Mata-vargas, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 799 Front St, Soledad, CA 93960 Phone: 831-678-0881 Fax: 831-678-2803 |