Johan Martin Forslund, MD | |
2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | |
(714) 626-8630 | |
Not Available |
Full Name | Johan Martin Forslund |
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Gender | Male |
Speciality | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery |
Location | 2141 N Harbor Blvd Ste 35000, Fullerton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1982138665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207X00000X | Orthopaedic Surgery | A160765 (California) | Secondary |
207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | A160765 (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 |
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Johan Martin Forslund, MD 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 Ph: (714) 626-8630 | Johan Martin Forslund, MD 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 Ph: (714) 626-8630 |
Alexander Richter, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Langsdorf Dr, Suite 103, Fullerton, CA 92831 Phone: 714-879-0050 Fax: 714-879-0249 | |
David Downs, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Langsdorf Dr, Suite 103, Fullerton, CA 92831 Phone: 714-879-0050 Fax: 714-879-0249 | |
Eric Lon Lin, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 E Valencia Mesa Dr, Suite 310, Fullerton, CA 92835 Phone: 714-446-5200 Fax: 714-446-5292 | |
Dr. Carl C Chen, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835 Phone: 714-626-8630 Fax: 714-626-8659 | |
Kiarash Khajavi, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835 Phone: 714-626-8630 Fax: 714-626-8659 | |
Mikel Whiting, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd, Ste 35000, Fullerton, CA 92835 Phone: 714-626-8630 Fax: 714-626-8659 | |
Dr. Paul Henry Kirz, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1063 Carmel Cir, Fullerton, CA 92833 Phone: 714-871-4173 |