Evan Michael Krantz, MD | |
10921 Wilshire Blvd, Los Angeles, CA 90024-3906 | |
(310) 209-7700 | |
(310) 209-7700 |
Full Name | Evan Michael Krantz |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 10921 Wilshire Blvd, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023023611 | NPI | - | NPPES |
00A324280 | Medicaid | CA | |
00A324280 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A32428 (California) | Primary |
Entity Name | Bayside Anesthesia Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184668469 PECOS PAC ID: 2466490560 Enrollment ID: O20050419001522 |
Mailing Address | Practice Location Address |
---|---|
Evan Michael Krantz, MD Po Box 7001, Tarzana, CA 91357-7001 Ph: (818) 888-7815 | Evan Michael Krantz, MD 10921 Wilshire Blvd, Los Angeles, CA 90024-3906 Ph: (310) 209-7700 |
Glory Cabanilla Tancinco, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6245 De Longpre Ave, Los Angeles, CA 90028 Phone: 234-622-2713 | |
Dr. Ernest Shmidt, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6245 De Longpre Ave, Los Angeles, CA 90028 Phone: 323-462-2271 | |
Dr. Thiendang Viet Nguyen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, #14-901, Los Angeles, CA 90033 Phone: 323-409-7748 | |
Catherine Cha, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-8041 Fax: 310-267-3766 | |
Mariya Svilik, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz Ste 3325, Los Angeles, CA 90095 Phone: 310-267-8626 Fax: 310-267-3899 | |
Dr. Phil Orallo Castillo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Room 14-901, Los Angeles, CA 90033 Phone: 323-226-4597 Fax: 323-226-2794 | |
Alma Luna Wells, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3160 Geneva St, Los Angeles, CA 90020 Phone: 818-813-4061 |