Azar Daneshbod, MD | |
3751 Katella Ave, Los Alamitos, CA 90720-3113 | |
(562) 799-3132 | |
Not Available |
Full Name | Azar Daneshbod |
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Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 3751 Katella Ave, Los Alamitos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386605673 | NPI | - | NPPES |
00C143300 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | C41330 (California) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | C41330 (California) | Primary |
Entity Name | Azar Daneshbod Md Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215998349 PECOS PAC ID: 1456380799 Enrollment ID: O20050808000579 |
Mailing Address | Practice Location Address |
---|---|
Azar Daneshbod, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Azar Daneshbod, MD 3751 Katella Ave, Los Alamitos, CA 90720-3113 Ph: (562) 799-3132 |
Tao Yang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-799-3132 Fax: 562-799-3565 | |
Indu Gupta, MD Pathology Medicare: Medicare Enrolled Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-799-3132 | |
Dr. Susan Sautao Lim, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-598-1311 |