Carol Shi, MD | |
1441 Avocado Ave Ste 503, Newport Beach, CA 92660-7706 | |
(949) 718-9020 | |
(949) 718-9040 |
Full Name | Carol Shi |
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Gender | Female |
Speciality | Family Medicine |
Location | 1441 Avocado Ave Ste 503, Newport Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033151402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A70644 (California) | Primary |
Entity Name | Coastal Family Medicine Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275584120 PECOS PAC ID: 4587678065 Enrollment ID: O20090124000106 |
Mailing Address | Practice Location Address |
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Carol Shi, MD Po Box 2218, Suisun City, CA 94585-5218 Ph: (657) 241-3600 | Carol Shi, MD 1441 Avocado Ave Ste 503, Newport Beach, CA 92660-7706 Ph: (949) 718-9020 |
Atef Khouzam, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 361 Hospital Rd, 322, Newport Beach, CA 92663 Phone: 949-574-0777 Fax: 949-650-3505 | |
Dr. Todd Andrew Forman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 W Coast Hwy, Suite 500, Newport Beach, CA 92663 Phone: 949-646-7733 Fax: 949-646-6678 | |
Dr. John Paul Laura, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3333 W Coast Hwy, # 500, Newport Beach, CA 92663 Phone: 949-646-0077 Fax: 949-646-6678 | |
Kristin Masukawa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Macarthur Blvd Ste 110, Newport Beach, CA 92660 Phone: 949-445-8768 | |
Dr. Vincent D Nguyen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hoag Dr Bldg 41, Newport Beach, CA 92663 Phone: 949-764-7647 Fax: 657-241-7720 | |
Dr. John G Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Placentia Ave, Suite 103, Newport Beach, CA 92663 Phone: 949-645-6412 Fax: 949-645-8442 |