| Taiwo Olawuyi, | |
|
1695 S San Jacinto Ave Ste A-d&f, San Jacinto, CA 92583-5103 | |
| (951) 330-3100 | |
| (951) 350-1050 |
| Full Name | Taiwo Olawuyi |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 1695 S San Jacinto Ave Ste A-d&f, San Jacinto, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508739681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 67066 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tobias Moeller-bertram Md Corporation | 1456586064 | 58 |
| Mailing Address | Practice Location Address |
|---|---|
| Taiwo Olawuyi, 1695 S San Jacinto Ave Ste A-d&f, San Jacinto, CA 92583-5103 Ph: (951) 330-3100 | Taiwo Olawuyi, 1695 S San Jacinto Ave Ste A-d&f, San Jacinto, CA 92583-5103 Ph: (951) 330-3100 |
Mr. Kenrick Carlyle Bourne, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1695 S San Jacinto Ave Ste C, San Jacinto, CA 92583 Phone: 951-330-3100 Fax: 951-380-8596 | |
Mrs. Tamika Shanae Smith, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2220 Girard St, San Jacinto, CA 92583 Phone: 951-683-6596 | |
Mr. Paul Martin Mitchell, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1695 S San Jacinto Ave Ste A-d&f, San Jacinto, CA 92583 Phone: 951-330-3100 Fax: 951-350-1050 | |
Nikolay Nikolayevich Loboda, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1692 S Santa Fe Ave, #f-52, San Jacinto, CA 92583 Phone: 951-654-6596 | |
Mr. Emmanuel O Ogbodo, MBA,, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 229 W 7th St, San Jacinto, CA 92583 Phone: 951-487-2550 | |
Sara Elizabeth Barnes, M.S, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 229 W 7th St, San Jacinto, CA 92583 Phone: 951-487-2550 |