Beverly Z Gaitan, MD | |
23781 Maquina, Mission Viejo, CA 92691-2716 | |
(949) 455-4320 | |
Not Available |
Full Name | Beverly Z Gaitan |
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Gender | Female |
Speciality | Pediatrics |
Location | 23781 Maquina, Mission Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528142593 | NPI | - | NPPES |
00A643110 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | A64311 (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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Beverly Z Gaitan, MD 23781 Maquina, Mission Viejo, CA 92691-2716 Ph: () - | Beverly Z Gaitan, MD 23781 Maquina, Mission Viejo, CA 92691-2716 Ph: (949) 455-4320 |
Dr. Jennifer Brooke Grumet, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23781 Maquina, Mission Viejo, CA 92691 Phone: 213-445-5824 | |
Paige S Natori, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 159, Mission Viejo, CA 92691 Phone: 949-364-1380 | |
Dr. Dina Mustafa Alshunnaq, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 26161 La Paz Rd Ste 115, Mission Viejo, CA 92691 Phone: 949-206-0001 Fax: 949-206-0011 | |
Marvin Posner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 27800 Medical Center Rd, Ste 100, Mission Viejo, CA 92691 Phone: 949-364-1400 | |
Dr. Krista Braun-young, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 26161 La Paz Rd Ste 115, Mission Viejo, CA 92691 Phone: 949-206-0001 | |
Mrs. Faith Ray Huang, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 27800 Medical Center Rd, Suite 244, Mission Viejo, CA 92691 Phone: 949-364-2900 Fax: 949-365-0117 | |
Johanna Rodriguez-toledo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 26800 Crown Valley Pkwy Ste 510, Mission Viejo, CA 92691 Phone: 949-364-8700 |