Jack S Vangrow, MD | |
1140 W. La Veta Ave, Suite # 640, Orange, CA 92868-4228 | |
(714) 564-3300 | |
(714) 564-3318 |
Full Name | Jack S Vangrow |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1140 W. La Veta Ave, Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467482174 | NPI | - | NPPES |
GR0064090 | Medicaid | CA | |
C29135 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | C29135 (California) | Primary |
Entity Name | Orange County Heart Institute And Research Center A Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265463608 PECOS PAC ID: 1456251586 Enrollment ID: O20040113000512 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Jack S Vangrow, MD 1140 W. La Veta Ave, Suite # 640, Orange, CA 92868-4228 Ph: (714) 564-3300 | Jack S Vangrow, MD 1140 W. La Veta Ave, Suite # 640, Orange, CA 92868-4228 Ph: (714) 564-3300 |
Michael Cheng, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7110 | |
Harry Nguyen, D.O. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7002 | |
Dr. Nicole Foley, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 200 S Manchester Ave Ste 400, Orange, CA 92868 Phone: 714-456-5153 | |
Millie Arora, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, City Tower, Suite 400, Orange, CA 92868 Phone: 714-456-5691 Fax: 714-456-8874 | |
Dr. Antonio Halais Frangieh, MD, MPH Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890 | |
Mark E Wylam, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890 | |
Dr. Andy Yen-tang Lee, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890 |