Dr Dale Knox, MD | |
309 W Beverly Blvd, Montebello, CA 90640-4308 | |
(818) 340-9988 | |
(818) 587-2493 |
Full Name | Dr Dale Knox |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 309 W Beverly Blvd, Montebello, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215998919 | NPI | - | NPPES |
00G251820 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G25182 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Mailing Address | Practice Location Address |
---|---|
Dr Dale Knox, MD Po Box 4419, Woodland Hills, CA 91365-4419 Ph: (818) 340-9988 | Dr Dale Knox, MD 309 W Beverly Blvd, Montebello, CA 90640-4308 Ph: (818) 340-9988 |
Dr. John D Uphold, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 309 W Beverly Blvd, Montebello, CA 90640 Phone: 323-726-1222 Fax: 818-587-2493 | |
Dr. Raul Lopez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 W Beverly Blvd, Montebello, CA 90640 Phone: 818-340-9988 Fax: 818-587-2493 | |
Dr. Sergio Antonio Hernandez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 W Beverly Blvd, Montebello, CA 90640 Phone: 323-726-1222 | |
Dr. Sheila T. Wan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 W Beverly Blvd, Montebello, CA 90640 Phone: 323-726-1222 |