Kevin Ht Phan, MD | |
8805 Haven Ave Ste 200, Rancho Cucamonga, CA 91730-5157 | |
(909) 912-1750 | |
(909) 989-4477 |
Full Name | Kevin Ht Phan |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 11 Years |
Location | 8805 Haven Ave Ste 200, Rancho Cucamonga, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033539150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 4301501266 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
San Antonio Regional Hospital | Upland, CA | Hospital |
Arrowhead Regional Medical Center | Colton, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
San Bernardino Medical Orthopaedic Group Inc | 9335045228 | 80 |
Entity Name | San Bernardino Medical Orthopaedic Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336187475 PECOS PAC ID: 9335045228 Enrollment ID: O20040303001330 |
Entity Name | Optimal Health Of Ca Iii, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023526993 PECOS PAC ID: 4981967106 Enrollment ID: O20180420000835 |
Mailing Address | Practice Location Address |
---|---|
Kevin Ht Phan, MD 1801 Orange Tree Ln Ste 200, Redlands, CA 92374-4587 Ph: (909) 557-1600 | Kevin Ht Phan, MD 8805 Haven Ave Ste 200, Rancho Cucamonga, CA 91730-5157 Ph: (909) 912-1750 |
Asghar Husain, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8805 Haven Ave, Suite 200, Rancho Cucamonga, CA 91730 Phone: 909-912-1750 Fax: 909-989-4477 | |
Dr. Sang Van Le, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8805 Haven Ave Ste 200, Rancho Cucamonga, CA 91730 Phone: 909-912-1750 Fax: 909-989-4477 | |
Mr. Satish K Lal, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 10841 White Oak Ave, Suite 100, Rancho Cucamonga, CA 91730 Phone: 909-989-4002 Fax: 909-989-4004 |