Dr Henry Loc Kano, MD | |
632 W Gibson Rd, Woodland, CA 95695 | |
(530) 666-1631 | |
(530) 668-4839 |
Full Name | Dr Henry Loc Kano |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 632 W Gibson Rd, Woodland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861427437 | NPI | - | NPPES |
00G749080 | Medicaid | CA | |
370007252 | Other | CA | MEDICARE RAILROAD CARRIER |
370004307 | Other | CA | RR MEDICARE |
00G749080 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G74908 (California) | Primary |
Entity Name | Dignity Health Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
Mailing Address | Practice Location Address |
---|---|
Dr Henry Loc Kano, MD 632 W Gibson Rd, Woodland, CA 95695 Ph: (530) 666-1631 | Dr Henry Loc Kano, MD 632 W Gibson Rd, Woodland, CA 95695 Ph: (530) 666-1631 |
Dr. Mathew Lawrence Fruzza, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1063 | |
Dr. Sajiv Saxena, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-666-1631 Fax: 530-668-4839 | |
Dr. Patricia A Mcneill, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-666-1631 | |
Samuel Max Siegel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-668-6463 | |
Brian Van Nguyen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-668-4839 | |
Dr. Stephen T Nowicki, MD, PHD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1207 Fairchild Ct, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-669-5627 | |
Sheetal Deep Sran, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1063 |