Paul P Iwai, MD | |
520 West 'i' Street, Los Banos, CA 93635-3419 | |
(209) 826-0591 | |
Not Available |
Full Name | Paul P Iwai |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 520 West 'i' Street, Los Banos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578671145 | NPI | - | NPPES |
00G804660 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G80466 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Mailing Address | Practice Location Address |
---|---|
Paul P Iwai, MD 2100 Powell St, Ste 900, Emeryville, CA 94608-1844 Ph: (510) 851-7423 | Paul P Iwai, MD 520 West 'i' Street, Los Banos, CA 93635-3419 Ph: (209) 826-0591 |
Robert William Thrailkill, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 West 'i' Street, Los Banos, CA 93635 Phone: 209-826-0591 | |
Byron F Carcelen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 W I St, Los Banos, CA 93635 Phone: 209-826-0591 | |
Phillip Silverstein, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 520 I St, Los Banos, CA 93635 Phone: 209-826-0591 | |
Thirukkanankudi V. Viswanathan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 520 West 'i' Street, Los Banos, CA 93635 Phone: 209-826-0591 |