Dr William Randolph Dodge Ii, | |
252 Azul Way, Oceanside, CA 92057-6816 | |
(301) 560-4522 | |
Not Available |
Full Name | Dr William Randolph Dodge Ii |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 252 Azul Way, Oceanside, 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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1588640312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A70260 (California) | Primary |
Entity Name | Mission Viejo Emergency Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073542916 PECOS PAC ID: 2163335241 Enrollment ID: O20031106000308 |
Entity Name | Mission Viejo Emergency Medical Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134355597 PECOS PAC ID: 7315090271 Enrollment ID: O20090725000046 |
Mailing Address | Practice Location Address |
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Dr William Randolph Dodge Ii, 252 Azul Way, Oceanside, CA 92057-6816 Ph: () - | Dr William Randolph Dodge Ii, 252 Azul Way, Oceanside, CA 92057-6816 Ph: (301) 560-4522 |
Miss Kelly Carol Peng, D.O Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Mercy Circle, Emergency Medicine Department, Oceanside, CA 92055 Phone: 760-719-3994 | |
Dr. Brendon Leif Gelford, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 Paseo Hermosa, Oceanside, CA 92056 Phone: 760-622-3722 | |
Dr. W. Byron Mitchell Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4002 Vista Way, Oceanside, CA 92056 Phone: 760-940-3505 | |
Dr. Michael H. Alaynick, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4002 Vista Way, Oceanside, CA 92056 Phone: 760-940-3808 | |
Dr. Edward S. Rotunda, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4002 Vista Way, Oceanside, CA 92056 Phone: 760-940-3808 | |
Dr. Tuan D. Nguyen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4002 Vista Way, Oceanside, CA 92056 Phone: 760-940-3808 | |
Dr. Pengta Anthony Chiang, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4002 Vista Way, Emergency Department, Oceanside, CA 92056 Phone: 760-439-1963 Fax: 760-268-0931 |