Dr Daniel Sompoj Tongbai, MD | |
1245 16th St Ste 225, Santa Monica, CA 90404-1240 | |
(310) 319-2241 | |
(310) 319-2263 |
Full Name | Dr Daniel Sompoj Tongbai |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1245 16th St Ste 225, Santa Monica, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053552604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A94582 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
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 |
---|---|
Dr Daniel Sompoj Tongbai, MD 757 Westwood Plaza Rm 3325, Ronald Reagan Ucla Med Ctr, Los Angeles, CA 90095-7403 Ph: (310) 319-2241 | Dr Daniel Sompoj Tongbai, MD 1245 16th St Ste 225, Santa Monica, CA 90404-1240 Ph: (310) 319-2241 |
Vivek Ram Vallurupalli, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-829-5511 | |
Dr. Sophie M. Andriaschuk, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-829-8202 | |
Daniel Cherkassky, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 650-823-8969 | |
Dr. David Asher Rakoff, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-423-2056 Fax: 310-423-8232 | |
Mark S. Goh, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-829-8202 Fax: 310-829-8209 | |
Dr. Kevin M. Miller, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1328 22nd St, St. John's Anesthesia Department, Santa Monica, CA 90404 Phone: 818-712-0598 Fax: 818-712-0598 |