Mr Mark Wakabayashi, MD | |
1500 E Duarte Rd, Duarte, CA 91010 | |
(626) 256-4673 | |
Not Available |
Full Name | Mr Mark Wakabayashi |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology - Gynecologic Oncology |
Location | 1500 E Duarte Rd, Duarte, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467547398 | NPI | - | NPPES |
00A713050 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A71305 (California) | Secondary |
207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | A71305 (California) | Primary |
Entity Name | City Of Hope Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871886366 PECOS PAC ID: 3779751656 Enrollment ID: O20110720000244 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Wakabayashi, MD Po Box 512185, Los Angeles, CA 90051-0185 Ph: (626) 775-3514 | Mr Mark Wakabayashi, MD 1500 E Duarte Rd, Duarte, CA 91010 Ph: (626) 256-4673 |
Dr. Thanh Hue Dellinger, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Mob 1002b, Duarte, CA 91010 Phone: 626-471-9353 Fax: 626-471-7155 | |
Stephen Jae-jin Lee, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-471-7100 Fax: 626-471-7155 | |
Mihae Song, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
Dr. Vinita Popat, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 800-826-4673 | |
Ana Isabel Tergas, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
Lorna Rodriguez, MD, PHD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1500 E. Duarte Road, Duarte, CA 91010 Phone: 626-256-4673 |