Geoffrey Ku Kenyota, MD | |
800 N Main St, Pediatrics, Santa Ana, CA 92701-3576 | |
(714) 456-7011 | |
Not Available |
Full Name | Geoffrey Ku Kenyota |
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Gender | Male |
Speciality | Pediatrics |
Location | 800 N Main St, Santa Ana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1437309275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | A106855 (California) | Primary |
Entity Name | University Of California Irvine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598790529 PECOS PAC ID: 5395658181 Enrollment ID: O20031107000431 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Geoffrey Ku Kenyota, MD 18081 Beach Blvd, Huntington Beach, CA 92648-1304 Ph: (714) 841-7330 | Geoffrey Ku Kenyota, MD 800 N Main St, Pediatrics, Santa Ana, CA 92701-3576 Ph: (714) 456-7011 |
Dr. Kasin Ekmaha Chai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1212 S Bristol St, Suite 16, Santa Ana, CA 92704 Phone: 714-966-0646 Fax: 714-966-2438 | |
Scott R. Harrison, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 N Tustin Ave, Santa Ana, CA 92705 Phone: 714-953-9100 | |
Jose Raymundo Lopez-lizarraga, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Redhill Ave Ste 100, Santa Ana, CA 92705 Phone: 888-962-5437 | |
Dr. Peter J. Chung, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2500 Redhill Ave Ste 100, Santa Ana, CA 92705 Phone: 949-267-0400 Fax: 949-221-0004 | |
John L Winkelman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2212 E 4th St, Santa Ana, CA 92705 Phone: 714-288-3230 | |
Mr. Alberto Gedissman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1515 S Broadway, Suite A, Santa Ana, CA 92707 Phone: 714-919-0280 Fax: 714-288-8970 | |
Dr. Naho Taguchi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2212 E 4th St Ste 201, Santa Ana, CA 92705 Phone: 714-288-3230 |