Myra Trivellas, | |
22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | |
(949) 722-7038 | |
(949) 630-4900 |
Full Name | Myra Trivellas |
---|---|
Gender | Female |
Speciality | Orthopaedic Surgery |
Location | 22 Corporate Plaza Dr, Newport Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194256818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | A163005 (California) | Primary |
Entity Name | Orthopedic Institute Of Newport Beach Limited Partnership |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164774600 PECOS PAC ID: 4688826688 Enrollment ID: O20121219000412 |
Mailing Address | Practice Location Address |
---|---|
Myra Trivellas, 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 Ph: (949) 722-7030 | Myra Trivellas, 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 Ph: (949) 722-7038 |
Ryan S Labovitch, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1401 Avocado Ave, Suite 307, Newport Beach, CA 92660 Phone: 949-720-1944 Fax: 949-720-9710 | |
Theodore K. Gregorius, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 701, Newport Beach, CA 92660 Phone: 949-759-3600 Fax: 949-759-5017 | |
Vu H Le, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3300 W Coast Hwy, Newport Beach, CA 92663 Phone: 949-491-9991 | |
John F Cook Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1441 Avocado Ave #802, Newport Beach, CA 92660 Phone: 949-644-9000 Fax: 949-644-4378 | |
Dr. Taylor Dunphy, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 22 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-722-7038 Fax: 949-630-4900 | |
Alan Harris Beyer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 22 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-722-7038 Fax: 949-630-4951 | |
Corey Michael Lieber, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 22 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-722-7038 Fax: 949-630-4900 |