Dr Michael Seung Oh, MD | |
2295 S Vineyard Ave Bldg D, Ontario, CA 91761-7925 | |
(888) 750-0036 | |
Not Available |
Full Name | Dr Michael Seung Oh |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 2295 S Vineyard Ave Bldg D, Ontario, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972763555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | A123554 (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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Dr Michael Seung Oh, MD 2295 S Vineyard Ave Bldg D, Ontario, CA 91761-7925 Ph: () - | Dr Michael Seung Oh, MD 2295 S Vineyard Ave Bldg D, Ontario, CA 91761-7925 Ph: (888) 750-0036 |
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