Dr Marco Antonio Diaz, MD | |
1300 W 7th St, San Pedro, CA 90732-3505 | |
(310) 514-5350 | |
(310) 514-5421 |
Full Name | Dr Marco Antonio Diaz |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1300 W 7th St, San Pedro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710919345 | NPI | - | NPPES |
00A671800 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A67180 (California) | Primary |
Entity Name | Intercommunity Emergency Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871535286 PECOS PAC ID: 7911892534 Enrollment ID: O20040708000780 |
Mailing Address | Practice Location Address |
---|---|
Dr Marco Antonio Diaz, MD Po Box 661360, Arcadia, CA 91066-1360 Ph: (626) 447-0296 | Dr Marco Antonio Diaz, MD 1300 W 7th St, San Pedro, CA 90732-3505 Ph: (310) 514-5350 |
Brian D. Fong, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W 7th St, San Pedro, CA 90732 Phone: 310-514-5350 Fax: 310-514-5421 | |
Dr. Arlene Marie Vernon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W 7th St, San Pedro, CA 90732 Phone: 310-514-5350 Fax: 310-514-5421 | |
Dr. Jeffrey Paul Dayton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W 7th St, San Pedro, CA 90732 Phone: 310-514-5350 Fax: 310-514-5421 | |
Dr. Usha Rani K. Reddy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W 7th St, San Pedro, CA 90732 Phone: 310-514-5350 Fax: 310-514-5421 | |
Dr. Mark H. Joyner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W 7th St, Emergency Department, San Pedro, CA 90732 Phone: 310-514-5350 Fax: 310-514-5421 | |
Ronnie Lee Melendez, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W 7th St, San Pedro, CA 90732 Phone: 310-514-5350 Fax: 310-514-5421 | |
Karla Sonnier, NP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1300 W 7th St, San Pedro, CA 90732 Phone: 310-832-3311 |