| Sienna Medical Corporation | |
|
6425 Lynch Cyn Blvd Lake Isabella CA 93240 | |
| (760) 379-8630 | |
| (760) 379-7658 |
| Full Name | Sienna Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 6425 Lynch Cyn Blvd, Lake Isabella, California |
| Authorized Official Name and Position | Robert L Gross (OWNER) |
| Authorized Official Contact | 7603798630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sienna Medical Corporation 6425 Lynch Canyon Blvd Lake Isabella CA 93240-9726 Ph: (760) 379-8630 | Sienna Medical Corporation 6425 Lynch Cyn Blvd Lake Isabella CA 93240 Ph: (760) 379-8630 |
| NPI Number | 1174684583 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 01/18/2024 |
| Medicare PECOS PAC ID | 7113190877 |
|---|---|
| Medicare Enrollment ID | O20111026000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174684583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A7951 (California) | Primary |
| Provider Name | Robert L Gross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396827358 PECOS PAC ID: 4385691898 Enrollment ID: I20050406001160 |
| Provider Name | Gary Finstad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184763633 PECOS PAC ID: 8820135155 Enrollment ID: I20091019000731 |
| Provider Name | Ashley May Mcquade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417658782 PECOS PAC ID: 7517322357 Enrollment ID: I20230428002401 |
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Sienna Wellnes Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6425 Lynch Canyon Dr, Lake Isabella, CA 93240 Phone: 760-379-8630 Fax: 760-379-7658 | |
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