Jay P Lichman, MD | |
One Hoag Drive, Newport Beach, CA 92663-4162 | |
(949) 764-5570 | |
(949) 263-0473 |
Full Name | Jay P Lichman |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | One Hoag Drive, Newport Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003856675 | NPI | - | NPPES |
00G210670 | Medicaid | CA | |
00G210670 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | G21067 (California) | Primary |
Entity Name | Newport Center Radiology Associates Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013951714 PECOS PAC ID: 7810800166 Enrollment ID: O20031111000938 |
Mailing Address | Practice Location Address |
---|---|
Jay P Lichman, MD Dept La 21555, Pasadena, CA 91185-1555 Ph: (949) 764-5570 | Jay P Lichman, MD One Hoag Drive, Newport Beach, CA 92663-4162 Ph: (949) 764-5570 |
Vinh Ngoc Nguyen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3300 W Coast Hwy Ste B, Newport Beach, CA 92663 Phone: 888-762-4127 Fax: 714-571-5055 | |
Dr. Alix Vincent, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3 Sea Cove Ln, Newport Beach, CA 92660 Phone: 909-838-7864 | |
Christopher Baker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4041 Macarthur Blvd Ste 360, Newport Beach, CA 92660 Phone: 949-645-3534 | |
Dr. Jennifer Marie Jones Overstreet, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: One Hoag Drive, Hoag Memorial Hospital Presbyterian, Newport Beach, CA 92658 Phone: 949-645-3534 | |
Binh Van Nguyen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Hoag Dr, Newport Beach, CA 92663 Phone: 949-645-3534 | |
Anthony Stauffer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3300 W Coast Hwy, Newport Beach, CA 92663 Phone: 949-646-4400 Fax: 949-646-4485 |