Dr David Dana De Haas, MD | |
9920 Talbert Ave, Fountain Valley, CA 92708-5153 | |
(714) 378-7535 | |
Not Available |
Full Name | Dr David Dana De Haas |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 9920 Talbert Ave, Fountain Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760593248 | NPI | - | NPPES |
00G525730 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G52573 (California) | Primary |
Entity Name | Regents Of The University Of |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154379394 PECOS PAC ID: 7517869605 Enrollment ID: O20040120001119 |
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 |
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Dr David Dana De Haas, MD 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 Ph: (510) 350-2600 | Dr David Dana De Haas, MD 9920 Talbert Ave, Fountain Valley, CA 92708-5153 Ph: (714) 378-7535 |
Theresa S Maestas, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-966-7200 | |
Ronald J Hitzfield, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9920 Talbert Ave, Fountain Valley, CA 92708 Phone: 714-378-7535 | |
James Pugeda, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St Ste 3200, Fountain Valley, CA 92708 Phone: 714-369-1100 Fax: 714-464-4645 | |
Robert C Cockrell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 17100 Euclid, Fountain Valley, CA 92708 Phone: 714-966-7200 | |
Craig Farmer, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-966-7200 | |
Douglas J Anderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17100 Euclid, Fountain Valley, CA 92708 Phone: 714-966-7200 | |
Stephen H Morenz, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 17100 Euclid, Fountain Valley, CA 92708 Phone: 714-966-7200 |