Dr Thomas C Bent, MD | |
362 3rd St, Laguna Beach, CA 92651-2307 | |
(949) 494-0761 | |
(949) 494-3154 |
Full Name | Dr Thomas C Bent |
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Gender | Male |
Speciality | Family Medicine |
Location | 362 3rd St, Laguna Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093876583 | NPI | - | NPPES |
A38147 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A38147 (California) | Primary |
Entity Name | Laguna Beach Community Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225149222 PECOS PAC ID: 5991861197 Enrollment ID: O20090312000261 |
Mailing Address | Practice Location Address |
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Dr Thomas C Bent, MD 362 3rd St, Laguna Beach, CA 92651-2307 Ph: (949) 494-0761 | Dr Thomas C Bent, MD 362 3rd St, Laguna Beach, CA 92651-2307 Ph: (949) 494-0761 |
Dr. Korey Stephen Jorgensen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 362 3rd St, Laguna Beach, CA 92651 Phone: 949-494-0761 Fax: 949-494-3154 | |
Dr. Amila Vimara Nissanka, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 303 Broadway St Ste 103, Laguna Beach, CA 92651 Phone: 949-665-6000 Fax: 949-670-4967 | |
Dr. Jorge Rubal, MD, MBA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 362 3rd St, Laguna Beach, CA 92651 Phone: 949-494-0761 | |
John Sanguedolce, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Glenneyre St, Laguna Beach, CA 92651 Phone: 949-209-9266 Fax: 949-209-9267 | |
Dr. Anas M Aljammal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 370 Ocean Ave, Laguna Beach, CA 92651 Phone: 949-557-0610 Fax: 949-557-0611 | |
Dr. James Stuart Cumming, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1219 Emerald Bay, Laguna Beach, CA 92651 Phone: 949-228-0831 |