Dr Holly Nguyen Diep, MD in Harbor City, CA

Dr Holly Nguyen Diep, MD is a medicare enrolled "Pediatrics" physician in Harbor City, California. Her current practice location is 25825 Vermont Ave, Harbor City, California. You can reach out to her office (for appointments etc.) via phone at (310) 325-5111.

Dr Holly Nguyen Diep is licensed to practice in California (license number A95539) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164626214.

Contact Information

	Dr Holly Nguyen Diep, MD
	25825 Vermont Ave, Harbor City, CA 90710-3518
	(310) 325-5111
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Holly Nguyen Diep
Gender	Female
Speciality	Pediatrics
Location	25825 Vermont Ave, Harbor City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164626214
Provider Enumeration Date: 06/13/2007
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0547346868
Enrollment ID: I20080327000372

Medical Identifiers

Medical identifiers for Dr Holly Nguyen Diep such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164626214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A95539 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Holly Nguyen Diep allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Holly Nguyen Diep is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Holly Nguyen Diep, MD 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111	Dr Holly Nguyen Diep, MD 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111

Reviews and Comments

Pediatrics Doctors in Harbor City, CA

Rumie Su, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25965 Normandie Ave, Harbor City, CA 90710 Phone: 310-257-5179 Fax: 310-517-4520
Richard A. Schaar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Hector David Quintanilla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-517-4374
Cynthia Osmanian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Dr. Nisha Wadhwa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25965 Normandie Ave, Harbor City, CA 90710 Phone: 310-467-9908
Claudia Alas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 323-268-5000

Dr Holly Nguyen Diep, MD - Medicare Pediatrics in Harbor City, CA