Dr Michael D Deyoung, MD | |
250 S Grand Ave, Glendora, CA 91741-4218 | |
(626) 857-3170 | |
Not Available |
Full Name | Dr Michael D Deyoung |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 250 S Grand Ave, Glendora, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801822606 | NPI | - | NPPES |
00G302640 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G30264 (California) | Primary |
Entity Name | Montclair Emergency Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316044696 PECOS PAC ID: 8022019702 Enrollment ID: O20070123000593 |
Entity Name | San Dimas Emergency Medical Associates Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720239460 PECOS PAC ID: 0648334235 Enrollment ID: O20090127000007 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael D Deyoung, MD 31755 Coast Hwy, #103, South Laguna, CA 92651-7002 Ph: (949) 212-6941 | Dr Michael D Deyoung, MD 250 S Grand Ave, Glendora, CA 91741-4218 Ph: (626) 857-3170 |
Dr. Erick Douglas Stone, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 E Laurel Ave, Glendora, CA 91741 Phone: 626-963-4243 Fax: 626-963-0051 | |
Leonard Y Herman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 S Grand Ave, Glendora, CA 91741 Phone: 626-840-5655 Fax: 626-287-1940 | |
Earl Scott Isbell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 S Grand Ave, Glendora, CA 91741 Phone: 626-857-3170 | |
Dr. Michael Bogey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 W Route 66, Emergency Department, Glendora, CA 91740 Phone: 626-852-6119 | |
Dr. Bruce Raymond Bush, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 814 Cloverview Dr, Glendora, CA 91741 Phone: 562-809-6978 | |
Dr. Eric Brown, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 148 N Grand Ave, Glendora, CA 91741 Phone: 626-594-0478 Fax: 626-594-0575 |