| Laura Norton Petrovich Md Pc | |
|
1224 10th St Suite 200 Coronado CA 92118-3416 | |
| (619) 435-2234 | |
| (619) 435-1784 |
| Full Name | Laura Norton Petrovich Md Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 1224 10th St, Coronado, California |
| Authorized Official Name and Position | Laura Norton Petrovich (OWNER/PRESIDENT) |
| Authorized Official Contact | 6194352234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Norton Petrovich Md Pc 1224 10th St Suite 200 Coronado CA 92118-3416 Ph: (619) 435-2234 | Laura Norton Petrovich Md Pc 1224 10th St Suite 200 Coronado CA 92118-3416 Ph: (619) 435-2234 |
| NPI Number | 1033368741 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 02/08/2016 |
| Medicare PECOS PAC ID | 4082752076 |
|---|---|
| Medicare Enrollment ID | O20091111000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033368741 | NPI | - | NPPES |
| 00A720850 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A72085 (California) | Secondary |
| 208000000X | Pediatrics | A72085 (California) | Primary |
| Provider Name | Laura Petrovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891800116 PECOS PAC ID: 2264335983 Enrollment ID: I20040129001261 |
Sharpcare Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Prospect Pl Ste 340b, Coronado, CA 92118 Phone: 619-522-4000 Fax: 619-435-0150 | |
Parmela Sawhney Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1222 1st St, Suite 6, Coronado, CA 92118 Phone: 619-435-4488 Fax: 619-435-4489 | |
Patrick R Yassini M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 131 Orange Ave, #100, Coronado, CA 92118 Phone: 619-522-4005 Fax: 619-522-4014 | |
Crown Island Family Practice A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Prospect Pl, Suite 350, Coronado, CA 92118 Phone: 619-537-6910 Fax: 619-537-6905 | |
Prema Sai Medical, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Prospect Pl Ste 220, Coronado, CA 92118 Phone: 559-593-6450 Fax: 619-297-4490 | |
Coronado Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Prospect Pl Ste 340b, Coronado, CA 92118 Phone: 619-522-4000 Fax: 619-435-0150 |