Odin H Chan, MD | |
13652 Cantara St, Panorama City, CA 91402-5423 | |
(818) 375-2000 | |
Not Available |
Full Name | Odin H Chan |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 13652 Cantara St, Panorama City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659430270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | G72077 (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 |
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Odin H Chan, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 | Odin H Chan, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 |
Kamrooz Tabibzadeh, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 15251 Roscoe Blvd, Panorama City, CA 91402 Phone: 818-894-8080 Fax: 818-894-0804 | |
Ms. Caroline Dorothy Solomon, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Department Of Ob Gyn, Panorama City, CA 91402 Phone: 818-375-2000 | |
Suchitha M. Reddy, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Nabeel S. Atalla, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Sylvia L. Mann, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Michael J. Hakakha, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Peter J. Jacob, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 |