Kenneth C Moy, MD | |
1721 W Yosemite Ave, Manteca, CA 95337-5130 | |
(209) 476-2000 | |
Not Available |
Full Name | Kenneth C Moy |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1721 W Yosemite Ave, Manteca, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154409068 | NPI | - | NPPES |
00A710110 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A71011 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Kenneth C Moy, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Kenneth C Moy, MD 1721 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 476-2000 |
Jasleen Kaur Dhaliwal, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1205 E North St, Manteca, CA 95336 Phone: 951-973-2033 | |
Kanwal S. Gill, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 | |
Max William Miller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 | |
Dr. Amanda L Perez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1777 W Yosemite Ave, Manteca, CA 95337 Phone: 209-825-3555 | |
Dr. John B Woodbury, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1205 E North St, Manteca, CA 95336 Phone: 209-239-8301 | |
Yasmin E. Emery, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 |