David L Sodaro, MD | |
1451 Irvine Blvd, Tustin, CA 92780-3804 | |
(714) 838-8878 | |
(714) 838-8988 |
Full Name | David L Sodaro |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1451 Irvine Blvd, Tustin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659460947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A39157 (California) | Primary |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | Regents Of The University Of |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366590762 PECOS PAC ID: 3779689518 Enrollment ID: O20070510000532 |
Entity Name | Memorialcare Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
Entity Name | Hoag Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936 |
Mailing Address | Practice Location Address |
---|---|
David L Sodaro, MD 17360 Brookhurst St, Attn: Mcmf - Credentialing Department, Fountain Valley, CA 92708-3720 Ph: () - | David L Sodaro, MD 1451 Irvine Blvd, Tustin, CA 92780-3804 Ph: (714) 838-8878 |
Renee Heather Ballentine, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878 | |
Dr. Stephen Chang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878 | |
Dr. Myron Reiff, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3002 Dow Ave, Suite 204, Tustin, CA 92780 Phone: 714-368-0800 Fax: 714-368-0900 | |
Cathrin Hee Lim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 | |
Son Do, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 | |
William Robert Crumpton, M,D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14642 Newport Ave, Suite#200, Tustin, CA 92780 Phone: 714-669-4466 Fax: 714-669-4088 | |
Charles Chol Bae Kim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14642 Newport Ave Ste 105, Tustin, CA 92780 Phone: 714-831-1112 Fax: 714-486-2309 |