Dr Kenneth Donald Elman, MD | |
29525 Canwood St, #305, Agoura Hills, CA 91301-4233 | |
(818) 707-7789 | |
(818) 707-7797 |
Full Name | Dr Kenneth Donald Elman |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 29525 Canwood St, Agoura Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528075751 | NPI | - | NPPES |
CB227753 | Other | CA | GROUP PTAN |
CB227752 | Other | CA | PTAN |
1952318461 | Other | CA | GROUP NPI |
1528075751 | Other | CA | NPI INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G72087 (California) | Primary |
Entity Name | Barry J Wallman |
---|---|
Entity Type | Practitioner - Family Practice |
Entity Identifiers | NPI Number: 1952318461 PECOS PAC ID: 0840488755 Enrollment ID: I20101228000861 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Donald Elman, MD 29525 Canwood St, #305, Agoura Hills, CA 91301-4233 Ph: (818) 707-7789 | Dr Kenneth Donald Elman, MD 29525 Canwood St, #305, Agoura Hills, CA 91301-4233 Ph: (818) 707-7789 |
Lucille Charmaine Thomas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 29525 Canwood St Ste 306, Agoura Hills, CA 91301 Phone: 818-706-2010 | |
Dr. Habibollah Merzad Sadeghi, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 28632 Roadside Dr, Suite 105, Agoura Hills, CA 91301 Phone: 818-452-4483 Fax: 818-452-4488 | |
Dr. David Roy Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28240 Agoura Rd, Suite 102, Agoura Hills, CA 91301 Phone: 818-706-9690 Fax: 818-706-9692 | |
Barry Jay Wallman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 29525 Canwood St, #305, Agoura Hills, CA 91301 Phone: 818-707-7789 Fax: 818-707-7797 |