Dr Sebastian Bernal Sugay, MD | |
1200 N State St, Room D&t 3d321, Los Angeles, CA 90033-1029 | |
(323) 409-7257 | |
Not Available |
Full Name | Dr Sebastian Bernal Sugay |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 16 Years |
Location | 1200 N State St, Los Angeles, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578725990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MDR-5511 (Hawaii) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | A110416 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | Golden West Radiology Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225105729 PECOS PAC ID: 7113992074 Enrollment ID: O20040901001560 |
Mailing Address | Practice Location Address |
---|---|
Dr Sebastian Bernal Sugay, MD 1200 N State St, Room D&t 3d321, Los Angeles, CA 90033-1029 Ph: (323) 409-7257 | Dr Sebastian Bernal Sugay, MD 1200 N State St, Room D&t 3d321, Los Angeles, CA 90033-1029 Ph: (323) 409-7257 |
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