Ly Thi Tong, MD | |
5601 De Soto Ave, Woodland Hills, CA 91367-6701 | |
(818) 719-3770 | |
(818) 719-2201 |
Full Name | Ly Thi Tong |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Location | 5601 De Soto Ave, Woodland Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023036415 | NPI | - | NPPES |
00A857860 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | A85786 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Ly Thi Tong, MD 5601 De Soto Ave, Department Of Ophthalmology, 2nd Floor, Woodland Hills, CA 91367-6701 Ph: (818) 719-3770 | Ly Thi Tong, MD 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (818) 719-3770 |
Patricia S. Tsai, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 | |
Howard B. Levy, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 | |
Dr. Gelareh Dana, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-4834 Fax: 877-776-5490 | |
John Wong, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 | |
Grace Chihjen Lee, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 | |
Ravi Gutta, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 |