| Dr Frederick Joe Mckibben, MD | |
|
100 W California Blvd, Pasadena, CA 91105-3010 | |
| (626) 397-5000 | |
| (626) 397-2912 |
| Full Name | Dr Frederick Joe Mckibben |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 100 W California Blvd, Pasadena, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649294596 | NPI | - | NPPES |
| 00G559730 | Other | CA | BLUE SHIELD |
| 00G559730 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | G55973 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frederick Joe Mckibben, MD Po Box 80278, City Of Industry, CA 91716-8278 Ph: (503) 372-2740 | Dr Frederick Joe Mckibben, MD 100 W California Blvd, Pasadena, CA 91105-3010 Ph: (626) 397-5000 |
Austin Wu, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 310-267-8654 | |
Frederic Ransom Bushnell Iii, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 909 South Fair Oaks Avenue, Pasadena, CA 91105 Phone: 626-389-9300 Fax: 626-389-9336 | |
Thomas John Carpenter Jr., M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-5000 Fax: 626-397-2912 | |
Luke Hyaryul Chang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-5000 Fax: 626-397-2912 | |
Hayk Minasyan, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2923 Bradley St Ste 120, Pasadena, CA 91107 Phone: 626-639-6214 | |
Kevin K Li, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2555 E Colorado Blvd Ste 306, Pasadena, CA 91107 Phone: 626-538-8950 Fax: 626-566-7620 | |
Ernest Keith Polk, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-5000 Fax: 626-397-2912 |