Dennis Wayne Shults, DO | |
710 N. Brea Blvd, Ste G, Brea, CA 92821 | |
(714) 671-1150 | |
Not Available |
Full Name | Dennis Wayne Shults |
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Gender | Male |
Speciality | Family Medicine |
Location | 710 N. Brea Blvd, Brea, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1043370026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 20A6638 (California) | Primary |
2083X0100X | Preventive Medicine - Occupational Medicine | 20A6638 (California) | Secondary |
Entity Name | Sc Medical, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992078000 PECOS PAC ID: 6305001439 Enrollment ID: O20120622000394 |
Mailing Address | Practice Location Address |
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Dennis Wayne Shults, DO Po Box 3010, South Pasadena, CA 91031-6718 Ph: (562) 733-1467 | Dennis Wayne Shults, DO 710 N. Brea Blvd, Ste G, Brea, CA 92821 Ph: (714) 671-1150 |
Dr. Stephen W. Thacker, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 340 W Central Ave Ste 110, Attention: Maggie Noles, Brea, CA 92821 Phone: 714-529-3971 Fax: 714-529-1070 | |
Dr. David Szu-hong Liu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 E Lambert Rd, Brea, CA 92821 Phone: 714-672-5240 | |
James Sangho Yoon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 W Imperial Hwy Ste 200, Brea, CA 92821 Phone: 714-449-6900 Fax: 714-449-6971 | |
Mrs. Dawn Michelle Vollmann, PA Family Medicine Medicare: Medicare Enrolled Practice Location: 539 S Brea Blvd Ste 100, Brea, CA 92821 Phone: 714-671-2936 | |
Royce Lewis Hutain, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 955 W Imperial Hwy Ste 110, Brea, CA 92821 Phone: 714-449-6900 | |
Mark Giglio, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 W Imperial Hwy Ste 110, Brea, CA 92821 Phone: 714-449-6900 |