Lisa Shane I, MD | |
2801 Atlantic Ave, Long Beach, CA 90806-1737 | |
(562) 933-0713 | |
Not Available |
Full Name | Lisa Shane I |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 32 Years |
Location | 2801 Atlantic Ave, Long Beach, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316905235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G078893 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center | Long beach, CA | Hospital |
Long Beach Memorial Medical Center | Long beach, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Long Beach Memorial Pathology Medical Group, Inc. | 8426001363 | 12 |
Entity Name | Long Beach Memorial Pathology Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942257191 PECOS PAC ID: 8426001363 Enrollment ID: O20050302000982 |
Mailing Address | Practice Location Address |
---|---|
Lisa Shane I, MD 17601 Rainglen Ln, Huntington Beach, CA 92649-4727 Ph: (714) 377-5817 | Lisa Shane I, MD 2801 Atlantic Ave, Long Beach, CA 90806-1737 Ph: (562) 933-0713 |
Ronald C Kim, MD Pathology Medicare: Medicare Enrolled Practice Location: 5901 East Seventh Street, Dvamc (05/113np), Long Beach, CA 90822 Phone: 562-826-5513 Fax: 562-826-5623 | |
Be Thi Huynh, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2801 Atlantic Avenue, Long Beach, CA 90806 Phone: 562-933-0717 | |
Dr. Gloria Mary Bertucci, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2801 Atlantic Ave, Department Of Pathology, Long Beach, CA 90806 Phone: 562-933-0715 Fax: 562-933-0791 | |
Chynel Henning, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3816 Woodruff Ave, Ste 104, Long Beach, CA 90808 Phone: 562-377-0389 | |
Dr. Joyce Ruth King, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2801 Atlantic Ave, Department Of Pathology, Long Beach, CA 90806 Phone: 562-933-0722 Fax: 562-933-0791 | |
Dr. Gary D Kukes, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-8000 | |
Dr. Linda Kouchi Ando, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1050 Linden Ave, Long Beach, CA 90813 Phone: 562-491-9755 Fax: 562-491-7975 |