Lisa Kao, MD | |
191 S Buena Vista St, Suite 100, Burbank, CA 91505-4554 | |
(855) 723-3005 | |
(855) 817-9681 |
Full Name | Lisa Kao |
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Gender | Female |
Speciality | Pediatrics |
Location | 191 S Buena Vista St, Burbank, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164470647 | NPI | - | NPPES |
00C535520 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA06938700 (New Jersey) | Secondary |
208000000X | Pediatrics | C53552 (California) | Primary |
Entity Name | Providence Facey Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
Mailing Address | Practice Location Address |
---|---|
Lisa Kao, MD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5691 | Lisa Kao, MD 191 S Buena Vista St, Suite 100, Burbank, CA 91505-4554 Ph: (855) 723-3005 |
David Bender, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 191 S Buena Vista St Ste 240, Burbank, CA 91505 Phone: 818-557-7278 | |
Dr. N Keith Ashburn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2211 W Magnolia Blvd, Suite 210, Burbank, CA 91506 Phone: 818-391-2400 Fax: 818-391-2409 | |
Mr. Behzad Behmanesh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 West Alameda Ave, 604, Burbank, CA 91505 Phone: 818-845-5000 Fax: 818-845-5004 | |
Narindar Kaur Nat, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 Fax: 405-749-4561 | |
Dr. Marsha Anne Hatem Gerro, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 S Glenoaks Blvd, Suite 3, Burbank, CA 91502 Phone: 818-842-5555 Fax: 818-842-0355 | |
Autumn Ronai Shurin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 Fax: 405-749-4561 |