Grant Juntian Wang, MD | |
1500 San Pablo St, Los Angeles, CA 90033-5313 | |
(323) 442-7400 | |
Not Available |
Full Name | Grant Juntian Wang |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1500 San Pablo St, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699157297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 125067544 (Illinois) | Secondary |
207L00000X | Anesthesiology | A161534 (California) | Primary |
Entity Name | Pacific Valley Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851312862 PECOS PAC ID: 3577465368 Enrollment ID: O20040122000762 |
Entity Name | Usc Care Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
Entity Name | White Memorial Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215927470 PECOS PAC ID: 4486622362 Enrollment ID: O20100625000830 |
Mailing Address | Practice Location Address |
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Grant Juntian Wang, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-7400 | Grant Juntian Wang, MD 1500 San Pablo St, Los Angeles, CA 90033-5313 Ph: (323) 442-7400 |
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 |