Dr Shefali Khandwala, DO | |
539 S Brea Blvd, Brea, CA 92821-5377 | |
(714) 671-2936 | |
Not Available |
Full Name | Dr Shefali Khandwala |
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Gender | Female |
Speciality | Family Medicine |
Location | 539 S Brea Blvd, Brea, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1346495421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 20A10613 (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: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Dr Shefali Khandwala, DO 539 S Brea Blvd, Brea, CA 92821-5377 Ph: (714) 671-2936 | Dr Shefali Khandwala, DO 539 S Brea Blvd, Brea, CA 92821-5377 Ph: (714) 671-2936 |
Dr. Stephen W. Thacker, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 340 W Central Ave Ste 110, Attention: Maggie Noles, Brea, CA 92821 Phone: 714-529-3971 Fax: 714-529-1070 | |
Dr. David Szu-hong Liu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 E Lambert Rd, Brea, CA 92821 Phone: 714-672-5240 | |
Dennis Wayne Shults, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 710 N. Brea Blvd, Ste G, Brea, CA 92821 Phone: 714-671-1150 | |
James Sangho Yoon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 W Imperial Hwy Ste 200, Brea, CA 92821 Phone: 714-449-6900 Fax: 714-449-6971 | |
Mrs. Dawn Michelle Vollmann, PA Family Medicine Medicare: Medicare Enrolled Practice Location: 539 S Brea Blvd Ste 100, Brea, CA 92821 Phone: 714-671-2936 | |
Royce Lewis Hutain, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 955 W Imperial Hwy Ste 110, Brea, CA 92821 Phone: 714-449-6900 | |
Mark Giglio, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 W Imperial Hwy Ste 110, Brea, CA 92821 Phone: 714-449-6900 |