Breahn Faye-merie Donaldson, MD | |
18555 Ventura Blvd Ste B, Tarzana, CA 91356-4192 | |
(818) 614-3088 | |
Not Available |
Full Name | Breahn Faye-merie Donaldson |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 18555 Ventura Blvd Ste B, Tarzana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104486208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A177144 (California) | Secondary |
207P00000X | Emergency Medicine | A177144 (California) | Primary |
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
Mailing Address | Practice Location Address |
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Breahn Faye-merie Donaldson, MD 18555 Ventura Blvd Ste B, Tarzana, CA 91356-4192 Ph: () - | Breahn Faye-merie Donaldson, MD 18555 Ventura Blvd Ste B, Tarzana, CA 91356-4192 Ph: (818) 614-3088 |
Dr. Jonathan Andrew Prince, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Neil Eric Canby, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Frederick Theodore Dennis, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Eric Wynne Snyder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5172 | |
Dr. Tracy Norman Lawrence, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Anthony Charles Hernandez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Chris Y Wang, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Providence Tarzana Medical Center, Tarzana, CA 91356 Phone: 818-708-5172 |