Dr Thomas Edward Blair, MD | |
14020 Old Harbor Ln Apt 203, Marina Del Rey, CA 90292-7309 | |
(202) 365-3486 | |
(310) 782-1763 |
Full Name | Dr Thomas Edward Blair |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 14020 Old Harbor Ln Apt 203, Marina Del Rey, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730440025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A126929 (California) | Primary |
Entity Name | Victory Emergency Physicians Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932402716 PECOS PAC ID: 9133301732 Enrollment ID: O20110302000980 |
Mailing Address | Practice Location Address |
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Dr Thomas Edward Blair, MD 14020 Old Harbor Ln Apt 203, Marina Del Rey, CA 90292-7309 Ph: (202) 365-3486 | Dr Thomas Edward Blair, MD 14020 Old Harbor Ln Apt 203, Marina Del Rey, CA 90292-7309 Ph: (202) 365-3486 |
Dr. Edward J. Chung, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4560 Admiralty Way, 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379 | |
Barry J Borm, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911 | |
Dr. Timothy C Bullard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 108-273-7003 | |
Paula Gonella, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911 | |
Dr. Kirsten Elizabeth Mewaldt, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Unit #1604, Marina Del Rey, CA 90292 Phone: 626-354-4874 Fax: 650-723-0121 | |
Dr. Niloufar Naima, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Tahiti Way Apt 201, Marina Del Rey, CA 90292 Phone: 925-497-2366 | |
Ryan Yavorsky, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379 |