11234 ANDERSON ST STE MC1516A
LOMA LINDA, CA 92354-2804 US PECOS Enrolled
Overview
Wichit Srikureja is a Gastroenterologist in the LOMA LINDA area and has over 27 years of experience. Wichit Srikureja primary office location is at 11234 ANDERSON ST STE MC1516A and new patients are welcome to contact this healthcare provider for an appointment. He attended Loma Linda University School Of Medicine and graduated 1997
Wichit Srikureja is affiliated with two hospitals in the LOMA LINDA area, including LOMA LINDA UNIVERSITY MEDICAL CENTER. The NPI number is 1205857737 and the information was updated approximately 2 years ago.
Wichit Srikureja is affiliated with one medical group in the LOMA LINDA area, FACULTY PHYSICIANS AND SURGEONS OF LLUSM.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| A72022 | CA |
| MD60236713 | WA |
| Board Certifications |
|---|
| Gastroenterology |
| Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 00A720220 | CA |
| Taxonomy | State | Primary? |
|---|---|---|
| Gastroenterologist - Taxonomy Code 207RG0100X | CA | Y |
| Gastroenterologist - Taxonomy Code 207RG0100X | WA | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20040730000867 |
| PECOS Individual PAC ID: | 7719957216 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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