Alexander K Thayer, MD | |
13652 Cantara St, Panorama City, CA 91402-5423 | |
(818) 375-2000 | |
Not Available |
Full Name | Alexander K Thayer |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 13652 Cantara St, Panorama City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326196387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A68688 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Alexander K Thayer, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 | Alexander K Thayer, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 |
Yumi Christine Ishihara, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13651 Willard St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Karen Shih Tan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Emergency Department, Panorama City, CA 91402 Phone: 818-375-2013 | |
William W. Jou, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Christine A. Bloom, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Seth Jin Kutik, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13651 Willard St, Emergency Medicine Department, Panorama City, CA 91402 Phone: 818-375-2000 | |
Dr. Timothy Ting-han Chang, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-4231 | |
Arturo Salgado, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 |