Garwin B Soe, MD | |
3400 Delta Fair Blvd, Antioch, CA 94509-4004 | |
(925) 779-5000 | |
Not Available |
Full Name | Garwin B Soe |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Infectious Diseases |
Location | 3400 Delta Fair Blvd, Antioch, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891845616 | NPI | - | NPPES |
00G509720 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0208X | Pediatrics - Pediatric Infectious Diseases | G50972 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Garwin B Soe, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Garwin B Soe, MD 3400 Delta Fair Blvd, Antioch, CA 94509-4004 Ph: (925) 779-5000 |
Rosetta C. Newhall, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000 | |
Dr. Melissa Rose, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3700 Sunset Ln, Suite 6, Antioch, CA 94509 Phone: 925-755-8500 Fax: 925-755-8200 | |
Mr. Harry H. Huang, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 Sunset Ln, #6, Antioch, CA 94509 Phone: 925-755-8500 Fax: 925-755-8200 | |
Bernabe Floro Urbano Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000 | |
Abbas Mahdavi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3700 Lone Tree Way # 3, Antioch, CA 94509 Phone: 925-754-7200 | |
Deborah Fernandes, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-6375 | |
Carl R. Ng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000 |