Dr Diem Phuc Thuc Banh, DO | |
26520 Cactus Ave, Gme Office Room A1005, Moreno Valley, CA 92555-3927 | |
(951) 486-5908 | |
(951) 486-5901 |
Full Name | Dr Diem Phuc Thuc Banh |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 26520 Cactus Ave, Moreno 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 |
---|---|---|---|
1639465446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 0102204489 (Virginia) | Primary |
Entity Name | Dominion Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073554952 PECOS PAC ID: 7618863713 Enrollment ID: O20040305000503 |
Entity Name | North American Partners In Anesthesia (virginia), Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922031442 PECOS PAC ID: 9931192739 Enrollment ID: O20040407000294 |
Mailing Address | Practice Location Address |
---|---|
Dr Diem Phuc Thuc Banh, DO 26520 Cactus Ave, Gme Office Room A1005, Moreno Valley, CA 92555-3927 Ph: (951) 486-5908 | Dr Diem Phuc Thuc Banh, DO 26520 Cactus Ave, Gme Office Room A1005, Moreno Valley, CA 92555-3927 Ph: (951) 486-5908 |
Adam K Yuan, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Dr. Yifei Zheng, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 27300 Iris Ave, Moreno Valley, CA 92555 Phone: 619-373-5740 | |
Chang-ho L. Chon, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Gme Office, Rm A1005, Moreno Valley, CA 92555 Phone: 951-486-5908 Fax: 951-486-5910 | |
Craig E Stansbury, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4574 | |
Paul Lee, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, General Medical Education, Moreno Valley, CA 92555 Phone: 951-486-5908 Fax: 951-486-5910 | |
Leonard J Soloniuk, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 909-558-8054 | |
Dr. Michele Van Hal, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 |