Dr Kent H Azaren, MD | |
3610 Long Beach Blvd, Suite 101, Long Beach, CA 90807-4012 | |
(562) 424-0421 | |
(562) 427-8005 |
Full Name | Dr Kent H Azaren |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 3610 Long Beach Blvd, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750453700 | NPI | - | NPPES |
GR0079620 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | G40048 (California) | Primary |
Entity Name | Kent H Azaren Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093934556 PECOS PAC ID: 1456390624 Enrollment ID: O20050427000574 |
Mailing Address | Practice Location Address |
---|---|
Dr Kent H Azaren, MD Po Box 7039, Long Beach, CA 90807-0039 Ph: (562) 424-0421 | Dr Kent H Azaren, MD 3610 Long Beach Blvd, Suite 101, Long Beach, CA 90807-4012 Ph: (562) 424-0421 |
Dr. Fariba Gharai, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3828 Schaufele Ave Ste 340, Long Beach, CA 90808 Phone: 657-241-9051 Fax: 714-665-4602 | |
Brian J. Acker, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2865 Atlantic Ave, Suite 202, Long Beach, CA 90806 Phone: 562-595-4444 Fax: 562-492-1157 | |
Dr. Ankur Gupta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 E 28th St Ste 314, Long Beach, CA 90806 Phone: 562-981-9308 Fax: 562-981-9318 | |
Dr. Malgorzata V Stanczyk, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 432 E 10th St, Long Beach, CA 90813 Phone: 562-491-7935 Fax: 562-432-7930 | |
James Michael Tatum, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1045 Atlantic Ave Ste 506, Long Beach, CA 90813 Phone: 562-432-9911 Fax: 562-391-0180 | |
Tchaka Bayete Shepherd, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 E 28th Street, Suite 411, Long Beach, CA 90806 Phone: 562-427-1322 Fax: 562-427-4282 | |
Dr. Walter Cansino Chua, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5901 E 7th St, Building 150, 07/128, Long Beach, CA 90822 Phone: 562-826-8000 |