Daniel Khodabakhsh, | |
1600 W Avenue J, Lancaster, CA 93534-2814 | |
(661) 726-6225 | |
Not Available |
Full Name | Daniel Khodabakhsh |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 17 Years |
Location | 1600 W Avenue J, Lancaster, 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 |
---|---|---|---|
1780884395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A106419 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Antelope Valley Hospital | Lancaster, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Antelope Valley Emergency Medical Associates Inc | 7517851959 | 30 |
Entity Name | Antelope Valley Emergency Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225054257 PECOS PAC ID: 7517851959 Enrollment ID: O20040209000520 |
Entity Name | Antelope Valley Supportive Care & Hosp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225436967 PECOS PAC ID: 1557687357 Enrollment ID: O20201008001089 |
Mailing Address | Practice Location Address |
---|---|
Daniel Khodabakhsh, 8143 Crebs Ave, Reseda, CA 91335-1204 Ph: (415) 336-2277 | Daniel Khodabakhsh, 1600 W Avenue J, Lancaster, CA 93534-2814 Ph: (661) 726-6225 |
Frederic S Auerbach, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 | |
Frank Detrana, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 | |
Matthew Richard, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 | |
Dr. Kitcha Ranch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 43830 10th St W, Lancaster, CA 93534 Phone: 661-940-1421 | |
Dr. Nancy Louise Ferrel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44900 60th St W, Lancaster, CA 93536 Phone: 661-948-8581 Fax: 661-945-8470 | |
Dr. Kelly A Hall, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 W Columbia Way, #103, Lancaster, CA 93534 Phone: 661-729-1500 Fax: 661-729-4500 | |
Diane L Kehrli, NP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 |