James Van Phan, MD | |
4300 Rose Dr, Yorba Linda, CA 92886-2026 | |
(714) 528-4211 | |
(714) 528-3041 |
Full Name | James Van Phan |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4300 Rose Dr, Yorba Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407482490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | PTL3011 (California) | Secondary |
208000000X | Pediatrics | A186177 (California) | Primary |
Entity Name | Providence Medical Foundation |
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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 |
---|---|
James Van Phan, MD 4300 Rose Dr, Yorba Linda, CA 92886-2026 Ph: (714) 528-4211 | James Van Phan, MD 4300 Rose Dr, Yorba Linda, CA 92886-2026 Ph: (714) 528-4211 |
Lauren M Choi, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4300 Rose Dr, Yorba Linda, CA 92886 Phone: 714-577-6601 | |
Gilbert Gonzales, Pediatrics Medicare: Medicare Enrolled Practice Location: 18200 Yorba Linda Blvd, Suite 108, Yorba Linda, CA 92886 Phone: 714-524-6977 | |
Azza Ayad, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18200 Yorba Linda Blvd, Suite 108, Yorba Linda, CA 92886 Phone: 714-524-6977 | |
Dr. Christine Renee Wilson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4300 Rose Dr, Yorba Linda, CA 92886 Phone: 714-577-6677 | |
Jerome K Wang, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4300 Rose Dr, Yorba Linda, CA 92886 Phone: 714-577-6652 Fax: 714-223-6777 | |
Dr. Marienelle Banez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4300 Rose Dr, Yorba Linda, CA 92886 Phone: 714-528-4211 Fax: 714-579-6868 |