Dr Lawrence Edward Wells, MD | |
501 S Buena Vista St, Burbank, CA 91505-4809 | |
(818) 843-5111 | |
(405) 749-4561 |
Full Name | Dr Lawrence Edward Wells |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 501 S Buena Vista St, Burbank, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336103076 | NPI | - | NPPES |
00A492340 | Medicaid | CA | |
A49234 | Other | BLUE CROSS | |
00A492340 | Other | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A49234 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Dr Lawrence Edward Wells, MD Po Box 80116, City Of Industry, CA 91716-8116 Ph: (800) 749-4560 | Dr Lawrence Edward Wells, MD 501 S Buena Vista St, Burbank, CA 91505-4809 Ph: (818) 843-5111 |
Angelique Schuldenfrei Campen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 | |
John Jason Toth, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 Fax: 405-749-4561 | |
Dr. Noujan Adl-tabatabai, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2550 N Hollywood Way, Suite 204, Burbank, CA 91505 Phone: 818-557-0135 | |
Stanford Chin Lee, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 Fax: 405-749-4561 | |
Stephen Edward Kishineff, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 Fax: 405-751-3183 | |
Christopher William Keane, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 Fax: 405-749-4561 |