Dr Dane R Fliedner, MD | |
1601 Dove St, Suite 276, Newport Beach, CA 92660-2433 | |
(949) 788-1111 | |
(949) 788-1110 |
Full Name | Dr Dane R Fliedner |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1601 Dove St, 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 |
---|---|---|---|
1164568655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M5161 (Texas) | Secondary |
208000000X | Pediatrics | A76363 (California) | Primary |
Entity Name | Lighthouse Complex Care Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134781057 PECOS PAC ID: 4789911546 Enrollment ID: O20190816001244 |
Mailing Address | Practice Location Address |
---|---|
Dr Dane R Fliedner, MD Po Box 12257, Newport Beach, CA 92658-5057 Ph: (949) 788-1111 | Dr Dane R Fliedner, MD 1601 Dove St, Suite 276, Newport Beach, CA 92660-2433 Ph: (949) 788-1111 |
Cara Todd, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Dover Dr, Suite 7, Newport Beach, CA 92663 Phone: 949-645-4670 Fax: 949-722-6866 | |
Dr. Romit Kumar Kar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 355 Placentia Ave Ste 301, Newport Beach, CA 92663 Phone: 949-662-0152 Fax: 949-662-0159 | |
Dr. Marlene V. Tan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Hoag Dr, Hoag Presbyterian Hospital, Newport Beach, CA 92658 Phone: 949-764-8598 Fax: 949-764-5802 | |
Sameen Naqvi, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Superior Ave Ste 270, Newport Beach, CA 92663 Phone: 949-791-3370 | |
Richa Lal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Avocado Ave Ste 709, Newport Beach, CA 92660 Phone: 949-759-1720 | |
Mrs. Carla Du Mont, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 29 Saint Tropez, Newport Beach, CA 92660 Phone: 760-218-0523 | |
Kristine Brown, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 510 Superior Ave Ste 200d, Newport Beach, CA 92663 Phone: 949-791-3001 |