Garrett Sevigny, MD | |
1346 Foothill Blvd Ste 201, La Canada, CA 91011-2143 | |
(818) 790-5583 | |
Not Available |
Full Name | Garrett Sevigny |
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Gender | Male |
Speciality | Pediatrics |
Location | 1346 Foothill Blvd Ste 201, La Canada, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053774679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A162345 (California) | Primary |
Entity Name | The Huntington Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154467181 PECOS PAC ID: 4587631601 Enrollment ID: O20040923000968 |
Mailing Address | Practice Location Address |
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Garrett Sevigny, MD 400 N Pepper Ave Ste 2m203, Colton, CA 92324-1801 Ph: () - | Garrett Sevigny, MD 1346 Foothill Blvd Ste 201, La Canada, CA 91011-2143 Ph: (818) 790-5583 |
Shakeh A Mazmanian, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1346 Foothill Blvd, Suite 201, La Canada, CA 91011 Phone: 818-790-5583 Fax: 818-790-9517 | |
Kathleen A Smith, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1346 Foothill Blvd, Suite 201, La Canada, CA 91011 Phone: 818-790-5583 Fax: 818-790-9517 | |
John Rodarte, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1346 Foothill Blvd, Suite 201, La Canada, CA 91011 Phone: 818-790-5583 Fax: 818-790-1377 | |
Leonard R Baker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1346 Foothill Blvd Ste 301, La Canada, CA 91011 Phone: 818-790-1587 Fax: 818-952-3473 | |
Laura E Mabie, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1346 Foothill Blvd, Suite 201, La Canada, CA 91011 Phone: 818-790-5583 Fax: 818-790-9517 | |
Gregory Lizer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1346 Foothill Blvd, Suite 201, La Canada, CA 91011 Phone: 818-790-5583 Fax: 818-790-9517 |