Kristene Myklak, MD | |
101 The City Dr S, Orange, CA 92868-3201 | |
(714) 456-2986 | |
Not Available |
Full Name | Kristene Myklak |
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Gender | Female |
Speciality | Urology |
Location | 101 The City Dr S, 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 |
---|---|---|---|
1730471947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | A122173 (California) | Primary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Entity Name | Uci Department Of Urology |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255398533 PECOS PAC ID: 6901799238 Enrollment ID: O20040202001148 |
Mailing Address | Practice Location Address |
---|---|
Kristene Myklak, MD 200 S Manchester Ave Ofc, Orange, CA 92868-3217 Ph: (714) 456-2986 | Kristene Myklak, MD 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-2986 |
Thomas E Ahlering, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-6068 Fax: 888-378-4524 | |
Dr. Jacob Basilius, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 | |
Dr. Akhil K Das, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 | |
Ahmed Abdelhalim Abdelaziz Ali, M.D. Urology Medicare: Medicare Enrolled Practice Location: 505 S Main St, Suite 100, Orange, CA 92868 Phone: 714-509-3914 | |
Dr. Hari Prashant Sawkar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1140 W La Veta Ave Ste 520, Orange, CA 92868 Phone: 714-543-2000 Fax: 714-543-8804 | |
Dr. Zhan Tao Wang, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St Ste 100, Orange, CA 92868 Phone: 714-509-3914 Fax: 714-509-3915 | |
Heidi Ann Stephany, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 505 S Main St Ste 100, Orange, CA 92868 Phone: 714-509-3914 Fax: 888-378-5391 |