Dr Hieucam Phan, MD | |
2000 Mowry Ave, Fremont, CA 94538-1716 | |
(510) 818-6272 | |
Not Available |
Full Name | Dr Hieucam Phan |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2000 Mowry Ave, Fremont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346391240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G81167 (California) | Primary |
Entity Name | Ucsf Pediatrics Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823 |
Entity Name | University Of California San Francisco |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
Entity Name | Ucsf Medical Group Business Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
Entity Name | Lpch Medical Group Div Of Lucile |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Mailing Address | Practice Location Address |
---|---|
Dr Hieucam Phan, MD 2411 Potomac St, Oakland, CA 94602-3032 Ph: (510) 482-2126 | Dr Hieucam Phan, MD 2000 Mowry Ave, Fremont, CA 94538-1716 Ph: (510) 818-6272 |
Stephanie Chiang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-490-1222 | |
Natasha Beilin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-490-1222 | |
Tina Fatin Scobel, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-490-1222 | |
Annabelle Soares, Pediatrics Medicare: Medicare Enrolled Practice Location: 2191 Mowry Ave Ste 600c, Fremont, CA 94538 Phone: 510-792-4373 | |
Rebecca Klint, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 43971 Boscell Road, Fremont, CA 94538 Phone: 510-979-0603 Fax: 510-979-0798 | |
Dr. Lyn Marise Dos Santos, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2000 Mowry Ave, Fremont, CA 94538 Phone: 510-795-2002 | |
Dr. Patrick G Burke, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2191 Mowry Ave, 600c, Fremont, CA 94538 Phone: 510-792-4373 Fax: 510-792-3420 |