Dr Jo Lieberman Pan, MD | |
11420 Warner Ave, Fountain Valley, CA 92708-2529 | |
(714) 549-1300 | |
(714) 433-3100 |
Full Name | Dr Jo Lieberman Pan |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 24 Years |
Location | 11420 Warner Ave, Fountain Valley, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598756090 | NPI | - | NPPES |
00A779020 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A77902 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorialcare Orange Coast Medical Center | Fountain valley, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorialcare Medical Foundation | 8729277314 | 384 |
Entity Name | Memorialcare Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
Mailing Address | Practice Location Address |
---|---|
Dr Jo Lieberman Pan, MD 2742 Dow Ave, Tustin, CA 92780-7242 Ph: (714) 665-1600 | Dr Jo Lieberman Pan, MD 11420 Warner Ave, Fountain Valley, CA 92708-2529 Ph: (714) 549-1300 |
Dr. Diana Kim Phung Nguyen Pham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 18642 Bushard St, Fountain Valley, CA 92708 Phone: 714-883-0771 Fax: 714-962-2321 | |
Kevin Howard Schachter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8970 Warner Ave, Fountain Valley, CA 92708 Phone: 714-477-8400 | |
Dr. Kathryn Allen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18785 S. Brookhurst St, Ste 200, Fountain Valley, CA 92708 Phone: 714-378-5300 Fax: 714-378-5320 | |
Edgar A Fernandez, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9930 Talbert Ave, Fountain Valley, CA 92708 Phone: 714-964-6229 | |
Dr. Robert Allan Devereaux, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11100 Warner Ave, Ste 100, Fountain Valley, CA 92708 Phone: 714-957-9389 Fax: 714-957-0144 | |
Dr. Hung-chuan Cheng, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11100 Warner Ave #118, Fountain Valley, CA 92708 Phone: 714-444-0724 | |
Afdal Ibrahim Allam, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8970 Warner Ave, Fountain Valley, CA 92708 Phone: 714-848-7757 |