Anthony J Park, MD | |
10800 Magnolia Ave, Mob 2, 2nd Floor, Riverside, CA 92505-3043 | |
(866) 984-7483 | |
Not Available |
Full Name | Anthony J Park |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 14 Years |
Location | 10800 Magnolia Ave, Riverside, 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 |
---|---|---|---|
1265751697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | A135983 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital, Riverside | Riverside, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Anthony J Park, MD 10800 Magnolia Ave, Kaiser Permanente Riverside Medical Center, Riverside, CA 92505-3043 Ph: (866) 984-7483 | Anthony J Park, MD 10800 Magnolia Ave, Mob 2, 2nd Floor, Riverside, CA 92505-3043 Ph: (866) 984-7483 |
Brandon Garret Louie, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4244 Riverwalk Pkwy Ste 240, Riverside, CA 92505 Phone: 951-509-3580 Fax: 951-509-4552 | |
Dr. Lincoln J Maynes, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Kaiser Permanente Riverside Medical Center, Mob-2, Riverside, CA 92505 Phone: 951-353-3230 Fax: 951-353-5762 | |
Alex G Batta, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-782-3671 Fax: 951-784-3264 | |
Eric J. Forneret, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Aravind Chandrashekar, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 866-984-7483 | |
Raul Ordorica, MD Urology Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-5019 | |
Benjamin Kattle Yang, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave., Riverside, CA 92506 Phone: 951-782-3696 Fax: 951-784-3264 |