Gary Fan, MD | |
1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | |
(562) 407-2080 | |
Not Available |
Full Name | Gary Fan |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 40 Years |
Location | 1720 E Cesar E Chavez Ave, Los Angeles, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063421311 | NPI | - | NPPES |
00A87120 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A87120 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
White Memorial Medical Center | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
White Memorial Medical Center | 4486622362 | 46 |
Entity Name | Consultants For Anesthesia & Management Of Pain |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952323909 PECOS PAC ID: 3870539521 Enrollment ID: O20050701000886 |
Entity Name | White Memorial Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215927470 PECOS PAC ID: 4486622362 Enrollment ID: O20100625000830 |
Entity Name | Medstar Anesthesia Service, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548279862 PECOS PAC ID: 8921303140 Enrollment ID: O20160301002376 |
Mailing Address | Practice Location Address |
---|---|
Gary Fan, MD Po Box 4259, Cerritos, CA 90703-4259 Ph: (562) 407-2080 | Gary Fan, MD 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 Ph: (562) 407-2080 |
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 |