Prajan Subedi, | |
30230 Rancho Viejo Rd, 200, San Juan Capistrano, CA 92675-1557 | |
(949) 443-4303 | |
(949) 443-4033 |
Full Name | Prajan Subedi |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 30230 Rancho Viejo Rd, San Juan Capistrano, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124250022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301094003 (Michigan) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | A130101 (California) | Primary |
Entity Name | Uc Regents |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760430847 PECOS PAC ID: 7416869516 Enrollment ID: O20031118000906 |
Mailing Address | Practice Location Address |
---|---|
Prajan Subedi, Po Box 7087, Orange, CA 92863-7087 Ph: (714) 571-5000 | Prajan Subedi, 30230 Rancho Viejo Rd, 200, San Juan Capistrano, CA 92675-1557 Ph: (949) 443-4303 |
Dr. Kaveh N Rezvan, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 30230 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675 Phone: 949-443-4303 Fax: 949-443-4033 | |
Joseph Raymond Droke, L.AC Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 30628 Calle Chueca, San Juan Capistrano, CA 92675 Phone: 661-373-0666 | |
Dr. Daniel Link Fortmann, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 32281 Camino Capistrano, Suite C-102, San Juan Capistrano, CA 92675 Phone: 949-493-7981 Fax: 949-493-0114 | |
Catherine Mary Mcmillan, Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 30230 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675 Phone: 949-443-4303 Fax: 949-443-4033 | |
Dr. Jesus M Valadez, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 31001 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675 Phone: 949-661-9600 Fax: 949-443-6200 | |
Dr. Michael Anthony Rovzar, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675 Phone: 949-443-4303 Fax: 949-443-4033 |