Grace Chang Broderick, MD | |
2521 Michelle Dr, Tustin, CA 92780-7014 | |
(888) 988-2800 | |
Not Available |
Full Name | Grace Chang Broderick |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 12 Years |
Location | 2521 Michelle Dr, Tustin, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548525264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 135716 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - Orange County - Anahe | Anaheim, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
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 |
---|---|
Grace Chang Broderick, MD 2521 Michelle Dr, Tustin, CA 92780-7014 Ph: () - | Grace Chang Broderick, MD 2521 Michelle Dr, Tustin, CA 92780-7014 Ph: (888) 988-2800 |
Dr. Huong T Duong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780 Phone: 714-838-5610 | |
Dr. Susan L Ban, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780 Phone: 714-838-5610 | |
Jeremy Lam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2492 Walnut Ave Ste 100, Tustin, CA 92780 Phone: 714-709-8000 Fax: 714-709-8080 | |
Dr. Thomas C Hwang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780 Phone: 714-838-5610 | |
Dr. James A Grimes, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780 Phone: 714-838-5610 | |
Dr. Pin-hung Hsieh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13522 Newport Ave Ste 102, Tustin, CA 92780 Phone: 714-573-8200 Fax: 714-573-9401 | |
Madonna A Nicolai, CFNP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 14351 Myford Rd, Suite B, Tustin, CA 92780 Phone: 714-550-9990 Fax: 714-550-1226 |