Lawrence Dennen Jr, MD | |
39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | |
(510) 795-3000 | |
Not Available |
Full Name | Lawrence Dennen Jr |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 39400 Paseo Padre Pkwy, Fremont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710062476 | NPI | - | NPPES |
00G597270 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | G59727 (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 |
---|---|
Lawrence Dennen Jr, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Lawrence Dennen Jr, MD 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 795-3000 |
Kingsway Liu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000 | |
Dr. Kranthi Kumar Achanta, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 39141 Civic Center Dr, Suite 335, Fremont, CA 94538 Phone: 510-248-1450 Fax: 510-742-8244 | |
Rakesh Safaya, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 39141 Civic Center Dr Ste 335, Fremont, CA 94538 Phone: 510-248-1420 | |
Joyce Lu, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 39141 Civic Center Dr Ste 335, Fremont, CA 94538 Phone: 510-248-1420 Fax: 510-791-2874 | |
Brian Richard Badduke, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 39141 Civic Center Dr, Suite 335, Fremont, CA 94538 Phone: 510-248-1411 | |
Ramineni V Rao, MD Surgery Medicare: Medicare Enrolled Practice Location: 1895 Mowry Ave, #118b, Fremont, CA 94538 Phone: 510-795-7706 Fax: 510-795-7768 | |
Joanna Song Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3075 |