Dr Cory Hata, DO | |
3440 E La Palma Ave, Anaheim, CA 92806-2020 | |
(714) 644-2000 | |
Not Available |
Full Name | Dr Cory Hata |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 3440 E La Palma Ave, Anaheim, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508136847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | P1323 (Texas) | Secondary |
207P00000X | Emergency Medicine | 20A12330 (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 Cory Hata, DO 3440 E La Palma Ave, Anaheim, CA 92806-2020 Ph: () - | Dr Cory Hata, DO 3440 E La Palma Ave, Anaheim, CA 92806-2020 Ph: (714) 644-2000 |
Alan C Osgood, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3033 West Orange Avenue, Anaheim, CA 92804 Phone: 714-827-3000 | |
David A Reid, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 W Orange Ave, Anaheim, CA 92804 Phone: 714-827-3000 | |
Emily Wing, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806 Phone: 833-574-2273 | |
Scott R. Johnson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Charles Lu, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806 Phone: 714-644-2000 | |
Ralph E Conner Iii, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3350 W Ball Rd, Anaheim, CA 92804 Phone: 714-220-4533 Fax: 818-587-2493 | |
Gihan K Wetzel, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 W La Palma Ave, Anaheim, CA 92801 Phone: 714-774-1450 |