Daniel L Kulick, MD | |
26800 Crown Valley Pkwy, Suite 120, Mission Viejo, CA 92691-6384 | |
(949) 364-3388 | |
(949) 364-5026 |
Full Name | Daniel L Kulick |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 43 Years |
Location | 26800 Crown Valley Pkwy, Mission Viejo, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679550123 | NPI | - | NPPES |
00G476220 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | G47622 (California) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | G47622 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mission Hospital Regional Med Center | Mission viejo, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Daniel L Kulick, MD 26800 Crown Valley Pkwy Ste 120, Mission Viejo, CA 92691-8033 Ph: (949) 364-3388 | Daniel L Kulick, MD 26800 Crown Valley Pkwy, Suite 120, Mission Viejo, CA 92691-6384 Ph: (949) 364-3388 |
Amy Thu Bui, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy, Suite 230, Mission Viejo, CA 92691 Phone: 949-542-8004 Fax: 949-364-3682 | |
Michael Pm Truong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy, Suite 230, Mission Viejo, CA 92691 Phone: 949-364-3330 Fax: 949-364-3682 | |
Erene Nawar Sami, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy Ste 485, Mission Viejo, CA 92691 Phone: 949-364-5830 | |
Dr. Paul A Wehrle, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 26800 Crown Valley Pkwy., Suite 100, Mission Viejo, CA 92691 Phone: 949-364-6000 Fax: 949-364-1647 | |
Dr. Brett Michael Wertman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 27800 Medical Center Rd, Suite 222, Mission Viejo, CA 92691 Phone: 949-276-2446 Fax: 949-276-2449 | |
Dr. Eric Olson Benner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy Ste 315, Mission Viejo, CA 92691 Phone: 949-364-6000 Fax: 949-364-1204 | |
Dr. Richard Jacob, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 26800 Crown Valley Pkwy, Suite 250, Mission Viejo, CA 92691 Phone: 949-364-3570 Fax: 949-364-3430 |