Kevin Huntsman, MD | |
1310 W Stewart Dr, Suite 410, Orange, CA 92868-3854 | |
(714) 639-9401 | |
(714) 639-7095 |
Full Name | Kevin Huntsman |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 1310 W Stewart Dr, Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275501496 | NPI | - | NPPES |
110200069 | Other | CA | RAIL ROAD MEDICARE - PROVIDER PTAN |
W1514 | Other | CA | MEDICARE PTAN - TYPE 2 |
CG5665 | Other | CA | RAIL ROAD MEDICARE - GROUP PTAN |
1912919804 | Other | CA | NPI - TYPE 2 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | G34408 (California) | Primary |
Entity Name | Providence Medical Foundation |
---|---|
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 |
---|---|
Kevin Huntsman, MD 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3854 Ph: (714) 639-9401 | Kevin Huntsman, MD 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3854 Ph: (714) 639-9401 |
Dr. James W Roh, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2501 E Chapman Ave, Orange, CA 92869 Phone: 714-639-9401 Fax: 714-639-7095 | |
Anwar Abdelhadi, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2501 E Chapman Ave, Orange, CA 92869 Phone: 714-771-8000 | |
Amish Dangodara, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-8978 | |
Dr. Ani Bussel, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 | |
Dr. Andrea D. Avery, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 | |
Kang Hsu, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1310 W Stewart Dr, Suite 410, Orange, CA 92868 Phone: 714-639-9401 Fax: 714-639-7095 | |
Lanny Lai Hsieh, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-8068 Fax: 714-456-3765 |