| Dr Leo Pevzner, MD | |
|
101 The City Dr S, Orange, CA 92868-3201 | |
| (714) 456-6807 | |
| Not Available |
| Full Name | Dr Leo Pevzner |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
| Location | 101 The City Dr S, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073636940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | A98610 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| 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 |
|---|---|
| Dr Leo Pevzner, MD 28535 Trento Way, Trabuco Canyon, CA 92679-1233 Ph: (949) 709-2395 | Dr Leo Pevzner, MD 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-6807 |
Dr. Laura Catherine Skoczylas, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Building 56, Department Of Ob/gyn, Orange, CA 92868 Phone: 714-456-8224 Fax: 714-456-8360 | |
Gelareh Renee Nikpour-heravi, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2501 E Chapman Ave Ste 201-202, Orange, CA 92869 Phone: 714-282-1892 Fax: 714-289-3906 | |
Jennefer Allyn Russo, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 700 S. Tustin Street, Orange, CA 92866 Phone: 714-633-6373 Fax: 714-532-2522 | |
Dr. Madushka Yohan De Zoysa, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 | |
Shruti Ria Dasgupta, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2501 E Chapman Ave Ste 400, Orange, CA 92869 Phone: 714-628-6642 | |
Dr. Tamera Hatfield, MD, PHD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 200 S. Manchester Ave, Suite 600, Orange, CA 92868 Phone: 714-456-2911 Fax: 714-456-8383 | |
Dr. Stephanie J. Warsheski, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3800 W Chapman Ave Ste 3400, Orange, CA 92868 Phone: 714-456-7733 |