Dr Kenneth L Moy, MD | |
18321 Clark St, Tarzana, CA 91356-3501 | |
(818) 708-5170 | |
(818) 705-2595 |
Full Name | Dr Kenneth L Moy |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 18321 Clark St, Tarzana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588607147 | NPI | - | NPPES |
00G323740 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G32374 (California) | Primary |
Entity Name | Tarzana Emergency Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235176702 PECOS PAC ID: 7113823014 Enrollment ID: O20040708001387 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth L Moy, MD Po Box 660640, Arcadia, CA 91066-0640 Ph: (626) 447-0296 | Dr Kenneth L Moy, MD 18321 Clark St, Tarzana, CA 91356-3501 Ph: (818) 708-5170 |
Dr. Jonathan Andrew Prince, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Neil Eric Canby, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Frederick Theodore Dennis, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Eric Wynne Snyder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5172 | |
Dr. Tracy Norman Lawrence, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Anthony Charles Hernandez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Chris Y Wang, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Providence Tarzana Medical Center, Tarzana, CA 91356 Phone: 818-708-5172 |