Dr Thomas Lac Ha-long, MD | |
2776 Pacific Ave, Long Beach, CA 90806-2613 | |
(562) 997-2300 | |
Not Available |
Full Name | Dr Thomas Lac Ha-long |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 2776 Pacific Ave, Long 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 |
---|---|---|---|
1891764205 | NPI | - | NPPES |
00G692930 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G69293 (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 |
---|---|
Dr Thomas Lac Ha-long, MD Po Box 2757, Orange, CA 92859-0757 Ph: (714) 973-2652 | Dr Thomas Lac Ha-long, MD 2776 Pacific Ave, Long Beach, CA 90806-2613 Ph: (562) 997-2300 |
Dr. Faustino Bernadett, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1040 Elm Ave, 100, Long Beach, CA 90813 Phone: 562-491-2145 Fax: 562-799-3721 | |
Dr. Glenn Ernest Nakamura, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 562-933-2000 Fax: 562-933-1245 | |
Dr. Martin J. Kraus, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 562-933-2000 Fax: 562-933-1245 | |
Dr. David Howard Wong, PHARM.D., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Anesthesiology Service, Long Beach, CA 90822 Phone: 562-826-5412 | |
Dr. Nancy Rios, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 250 Coronado Ave, Long Beach, CA 90803 Phone: 630-815-2742 | |
Dr. Raafat N. Mattar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5199 E Pacific Coast Hwy Ste 304, Long Beach, CA 90804 Phone: 562-493-2225 Fax: 562-426-8929 | |
Jessica Rena Hiruma, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 562-933-2000 |