Dr Breda Whelan Carroll, DO | |
5601 De Soto Ave, Woodland Hills, CA 91367-6701 | |
(818) 719-3006 | |
Not Available |
Full Name | Dr Breda Whelan Carroll |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 5601 De Soto Ave, Woodland Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427360726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 20A11409 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Dr Breda Whelan Carroll, DO 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (818) 719-3006 | Dr Breda Whelan Carroll, DO 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (818) 719-3006 |
Shiu-kwan Fok, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 | |
David A. Haberman, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 | |
Sara Flores, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2950 Fax: 818-719-2328 | |
Genesis Soriano, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6233 Variel Ave, Woodland Hills, CA 91367 Phone: 818-651-6018 | |
Susan Onami, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 833-574-2273 | |
Shala Motamed, P.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 20969 Ventura Blvd, 23, Woodland Hills, CA 91364 Phone: 818-992-5252 Fax: 818-992-5292 | |
Dr. Kara E Flavin, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 21215 Burbank Blvd, Woodland Hills, CA 91367 Phone: 888-910-5402 |