Dr Amanda Marmolejo, MD | |
3333 W Coast Hwy Ste 100, Newport Beach, CA 92663-4087 | |
(949) 645-6272 | |
(949) 999-0151 |
Full Name | Dr Amanda Marmolejo |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 3333 W Coast Hwy Ste 100, 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 |
---|---|---|---|
1679676597 | NPI | - | NPPES |
00G575350 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G57535 (California) | Primary |
Entity Name | West Coast Anesthesia Inc A Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972634020 PECOS PAC ID: 0648169581 Enrollment ID: O20070623000101 |
Mailing Address | Practice Location Address |
---|---|
Dr Amanda Marmolejo, MD 210 N Tustin Ave, Santa Ana, CA 92705-3807 Ph: (714) 347-1010 | Dr Amanda Marmolejo, MD 3333 W Coast Hwy Ste 100, Newport Beach, CA 92663-4087 Ph: (949) 645-6272 |
Dr. Jack Min Kan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Hoag Dr, Dept Of Anesthesiology, Newport Beach, CA 92663 Phone: 858-565-9666 Fax: 858-565-9441 | |
Dr. Philip K Das, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1525 Superior Ave Ste 114, Newport Beach, CA 92663 Phone: 949-646-6999 Fax: 949-646-9699 | |
Dr. Ajay Mohan Lalvani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Hoag Drive, Department Of Anesthesiology, Newport Beach, CA 92663 Phone: 949-764-6954 Fax: 949-764-5674 | |
Dr. Leighton John Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Hoag Drive, Department Of Anesthesiology, Newport Beach, CA 92663 Phone: 949-764-6954 Fax: 949-764-5674 | |
Dr. David C. Richards, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Hoag Drive, Department Of Anesthesiology, Newport Beach, CA 92663 Phone: 949-764-6954 Fax: 949-764-5674 | |
Dr. Christopher Russell Arkind, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Hoag Drive, Department Of Anesthesiology, Newport Beach, CA 92663 Phone: 949-764-6954 Fax: 949-764-5674 | |
Dr. Alan Robert Mizutani, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1525 Superior Ave Ste 114, Newport Beach, CA 92663 Phone: 949-646-6999 Fax: 949-646-9699 |