Dr John Chatfield Hiserodt, MD | |
7707 Garden Grove Blvd, Garden Grove, CA 92841-4207 | |
(714) 902-1762 | |
(657) 400-9073 |
Full Name | Dr John Chatfield Hiserodt |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 41 Years |
Location | 7707 Garden Grove Blvd, Garden Grove, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235296864 | NPI | - | NPPES |
00G773720 | Medicaid | CA | |
G77372 | Other | CA | CALIFORNIA MEDICAL LICENS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | G77372 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
De La Paz Medical Centre Inc | 2567780307 | 2 |
Entity Name | De La Paz Medical Centre Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447593868 PECOS PAC ID: 2567780307 Enrollment ID: O20150408000043 |
Mailing Address | Practice Location Address |
---|---|
Dr John Chatfield Hiserodt, MD 7707 Garden Grove Blvd, Garden Grove, CA 92841-4207 Ph: (714) 902-1762 | Dr John Chatfield Hiserodt, MD 7707 Garden Grove Blvd, Garden Grove, CA 92841-4207 Ph: (714) 902-1762 |
Dr. Antony Eugene Chen, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 12601 Garden Grove Blvd, Garden Grove, CA 92843 Phone: 714-741-2765 Fax: 714-537-8968 | |
Jon P Lake, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 12601 Garden Grove Blvd, Garden Grove, CA 92843 Phone: 714-741-2765 Fax: 714-590-2490 | |
Si Van Nguyen, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 12601 Garden Grove Blvd, Pathology Dept., Garden Grove, CA 92843 Phone: 949-874-0827 Fax: 310-698-7054 |