Brent Jacob Geffen, MD | |
2876 Sycamore Dr, Simi Valley, CA 93065-1530 | |
(805) 379-9646 | |
Not Available |
Full Name | Brent Jacob Geffen |
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Gender | Male |
Speciality | Otolaryngology |
Location | 2876 Sycamore Dr, Simi Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528562527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 185833 (California) | Primary |
207Y00000X | Otolaryngology | 11393298-1205 (Utah) | Secondary |
Entity Name | West Coast Ear, Nose And Throat |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588868863 PECOS PAC ID: 9638352503 Enrollment ID: O20110330000774 |
Mailing Address | Practice Location Address |
---|---|
Brent Jacob Geffen, MD 2876 Sycamore Dr, Simi Valley, CA 93065-1530 Ph: (805) 379-9646 | Brent Jacob Geffen, MD 2876 Sycamore Dr, Simi Valley, CA 93065-1530 Ph: (805) 379-9646 |
Dr. Mark David Kayne, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 953 Clear Sky Pl, Simi Valley, CA 93065 Phone: 805-526-3621 Fax: 805-526-3621 | |
Dr. Martin Edward Wareham, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2876 Sycamore Dr, Ste 303, Simi Valley, CA 93065 Phone: 805-379-9646 Fax: 805-379-0611 |