Charles Cuong Quoc Huynh, DO | |
604 Rose Ave, Venice, CA 90291-2767 | |
(310) 392-8636 | |
(310) 392-6642 |
Full Name | Charles Cuong Quoc Huynh |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 604 Rose Ave, Venice, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841225885 | NPI | - | NPPES |
20A7149 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 20A7149 (California) | Secondary |
207Q00000X | Family Medicine | 20A7419 (California) | Primary |
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Entity Name | Venice Family Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669418513 PECOS PAC ID: 2264339126 Enrollment ID: O20031217001082 |
Mailing Address | Practice Location Address |
---|---|
Charles Cuong Quoc Huynh, DO 5427 Whittier Blvd, Los Angeles, CA 90022-4101 Ph: (323) 889-7830 | Charles Cuong Quoc Huynh, DO 604 Rose Ave, Venice, CA 90291-2767 Ph: (310) 392-8636 |
Alexander Pappas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 | |
Patty P. Pinanong, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8630 | |
Dr. Mitesh G Popat, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 | |
Miriam C Padilla, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-664-7600 | |
Susan Mojdeh Partovi, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8630 | |
Coley M King, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 604 Rosse Ave., Venice, CA 90291 Phone: 310-392-8630 | |
Dr. Fatima Yousef Hussein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Lincoln Blvd Suite #100, Venice, CA 90291 Phone: 310-697-8126 |