Brian Ichwan, | |
939 Swiss Trl, Duarte, CA 91010-2181 | |
(626) 429-7036 | |
Not Available |
Full Name | Brian Ichwan |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 9 Years |
Location | 939 Swiss Trl, Duarte, 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 |
---|---|---|---|
1457748287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A143753 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
White Memorial Medical Center | Los angeles, CA | Hospital |
Pomona Valley Hospital Medical Center | Pomona, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cep America - California | 6103739131 | 974 |
Entity Name | Cep America - California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Entity Name | Cep America - California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Entity Name | Michael S. Agron, M.d., Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699716100 PECOS PAC ID: 2668360736 Enrollment ID: O20040707000788 |
Mailing Address | Practice Location Address |
---|---|
Brian Ichwan, 939 Swiss Trl, Duarte, CA 91010-2181 Ph: (626) 429-7036 | Brian Ichwan, 939 Swiss Trl, Duarte, CA 91010-2181 Ph: (626) 429-7036 |
Jeffrey F Wade, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
Dr. Jesse M Gentiluomo, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
Allen Yang, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
Dr. Michael Sullivan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Duarte Rd, Duarte, CA 91010 Phone: 626-359-8111 | |
Dr. Joseph Vega, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 |