Ethan Kunstadt, MD | |
16200 Sand Canyon Ave, Irvine, CA 92618-3714 | |
(949) 764-4624 | |
Not Available |
Full Name | Ethan Kunstadt |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 16200 Sand Canyon Ave, Irvine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992167993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A152429 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Newport Emergency Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922061779 PECOS PAC ID: 9537147897 Enrollment ID: O20041026001111 |
Mailing Address | Practice Location Address |
---|---|
Ethan Kunstadt, MD 16200 Sand Canyon Ave, Irvine, CA 92618-3714 Ph: (949) 764-4624 | Ethan Kunstadt, MD 16200 Sand Canyon Ave, Irvine, CA 92618-3714 Ph: (949) 764-4624 |
Vinh Tonthat, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 16200 Sand Canyon Ave, Irvine, CA 92618 Phone: 949-517-3010 | |
Caroline M. Han, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 16100 Sand Canyon Ave, Suite 150, Irvine, CA 92618 Phone: 949-417-0272 | |
Christopher E Salem, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18021 Sky Park Cir Ste G, Irvine, CA 92614 Phone: 949-260-0744 Fax: 949-260-0744 | |
Thomas K Ryu, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16200 Sand Canyon Ave, Irvine, CA 92618 Phone: 949-753-2000 | |
Justin Lee Yanuck, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Creek Rd, Irvine, CA 92604 Phone: 949-297-3838 | |
Dr. Amanda Darlene Moy, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 32 Gardenpath, Irvine, CA 92603 Phone: 949-679-1906 | |
Dr. Ryan Christopher Hurd, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6640 Alton Pkwy, Irvine, CA 92618 Phone: 949-932-2800 |