Dr Phyllis F Agran, MD | |
805 W La Veta Ave, Suite 108, Orange, CA 92868-3901 | |
(714) 744-0776 | |
(714) 744-6033 |
Full Name | Dr Phyllis F Agran |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 805 W La Veta Ave, 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 |
---|---|---|---|
1578583365 | NPI | - | NPPES |
00G377250 | Medicaid | CA | |
953842393 | Other | CA | EMPLOYER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | G37725 (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 |
Entity Name | Uc Regents Uci Dept Of Pediatrics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235187311 PECOS PAC ID: 5395649222 Enrollment ID: O20031121000860 |
Mailing Address | Practice Location Address |
---|---|
Dr Phyllis F Agran, MD 805 W La Veta Ave, Suite 108, Orange, CA 92868-3901 Ph: (714) 744-0776 | Dr Phyllis F Agran, MD 805 W La Veta Ave, Suite 108, Orange, CA 92868-3901 Ph: (714) 744-0776 |
Pei Lin Chang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-558-2462 | |
Antoine Soliman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-289-4511 Fax: 714-289-4788 | |
Dr. Jeffrey H Ho, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-289-4099 Fax: 714-289-4063 | |
Dr. Marita Fortades, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-532-8767 Fax: 714-289-4551 | |
Dr. Daina Dreimane, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1201 W La Veta Ave, Orange, CA 92868 Phone: 888-770-2462 Fax: 855-246-2329 | |
Dr. Sharief Khalil Taraman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 W La Veta Ave, Children's Hospital Of Orange County, Neurology, Orange, CA 92868 Phone: 714-509-7601 Fax: 855-246-2329 | |
Dr. Terrie E Inder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1201 W La Veta Ave, Orange, CA 92868 Phone: 714-509-8147 |