Dr Violeta B Vicencio, MD | |
1075 E Pacific Coast Hwy Ste D, Long Beach, CA 90806-5090 | |
(562) 676-4596 | |
(562) 676-4598 |
Full Name | Dr Violeta B Vicencio |
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Gender | Female |
Speciality | Internal Medicine |
Location | 1075 E Pacific Coast Hwy Ste D, 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 |
---|---|---|---|
1679699193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A39857 (California) | Primary |
Entity Name | Banj Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518036565 PECOS PAC ID: 6901855444 Enrollment ID: O20050121000469 |
Mailing Address | Practice Location Address |
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Dr Violeta B Vicencio, MD 1075 E Pacific Coast Hwy Ste D, Long Beach, CA 90806-5090 Ph: (562) 676-4596 | Dr Violeta B Vicencio, MD 1075 E Pacific Coast Hwy Ste D, Long Beach, CA 90806-5090 Ph: (562) 676-4596 |
Sohrab Tanavoli, D.O Internal Medicine Medicare: Medicare Enrolled Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-8000 | |
Ngoc-tram Gia Tran, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2888 Long Beach Blvd Ste 235, Long Beach, CA 90806 Phone: 562-803-2486 | |
Michael A Raya, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Redondo Ave, Long Beach, CA 90806 Phone: 562-988-7000 | |
Meggan Chappell, Internal Medicine Medicare: Medicare Enrolled Practice Location: 3833 Worsham Ave Ste 300, Long Beach, CA 90808 Phone: 562-595-5421 Fax: 562-426-2862 | |
Dr. Maurice A Bell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 Long Beach Blvd, Suite 200, Long Beach, CA 90807 Phone: 562-981-2355 Fax: 562-981-2920 | |
Katya C Corado, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1333 Chestnut Ave, Long Beach, CA 90813 Phone: 562-599-8601 Fax: 562-218-0853 | |
Dr. Diane L. Johnson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 65 Pine Ave, #19, Long Beach, CA 90802 Phone: 714-402-4685 Fax: 562-856-0389 |