Dr Edward Nana Opoku Jr, DO | |
2222 Foothill Blvd # E122, La Canada Flintridge, CA 91011-1456 | |
(310) 936-4782 | |
Not Available |
Full Name | Dr Edward Nana Opoku Jr |
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Gender | Male |
Speciality | General Practice |
Location | 2222 Foothill Blvd # E122, La Canada Flintridge, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982989380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 20A11418 (California) | Primary |
Entity Name | Global Wound Care Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871 |
Entity Name | American Wound Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20230927002772 |
Entity Name | Noho Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326829367 PECOS PAC ID: 7416304050 Enrollment ID: O20231103001773 |
Mailing Address | Practice Location Address |
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Dr Edward Nana Opoku Jr, DO 3714 Potomac Ave # 106, Los Angeles, CA 90016-5708 Ph: (213) 389-2526 | Dr Edward Nana Opoku Jr, DO 2222 Foothill Blvd # E122, La Canada Flintridge, CA 91011-1456 Ph: (310) 936-4782 |
Dr. Stephen C Beck, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 4427 Hobbs Dr, La Canada Flintridge, CA 91011 Phone: 818-261-0599 Fax: 818-790-5279 |