Ralph H Maeda Jr, MD | |
26732 Crown Valley Pkwy, Suite 351, Mission Viejo, CA 92691-6306 | |
(949) 364-1007 | |
(949) 364-6057 |
Full Name | Ralph H Maeda Jr |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 26732 Crown Valley Pkwy, Mission Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902806136 | NPI | - | NPPES |
WG43462A | Other | CA | PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | G43462 (California) | Primary |
Entity Name | South Orange County Surgical Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407860844 PECOS PAC ID: 8426945338 Enrollment ID: O20040303001083 |
Mailing Address | Practice Location Address |
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Ralph H Maeda Jr, MD 26732 Crown Valley Pkwy, Suite 351, Mission Viejo, CA 92691-6306 Ph: (949) 364-1007 | Ralph H Maeda Jr, MD 26732 Crown Valley Pkwy, Suite 351, Mission Viejo, CA 92691-6306 Ph: (949) 364-1007 |
Louise N Bacon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 26732 Crown Valley Pkwy, Suite 351, Mission Viejo, CA 92691 Phone: 949-364-1007 Fax: 949-364-0317 | |
Dr. Elliot Silver, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 27799 Medical Center Rd Ste 440, Mission Viejo, CA 92691 Phone: 949-364-1007 | |
Mr. Melvin Kaoru Akazawa, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 26732 Crown Valley Parkway, Suite 381, Mission Viejo, CA 92691 Phone: 949-364-2150 Fax: 949-364-1003 | |
Mr. Matthew Thomas Brady, Surgery Medicare: Accepting Medicare Assignments Practice Location: 26732 Crown Valley Pkwy Ste 351, Mission Viejo, CA 92691 Phone: 949-364-1007 Fax: 949-364-0317 | |
Dr. Michael K Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy Ste 410, Mission Viejo, CA 92691 Phone: 949-364-1010 | |
Dr. Carl E. Schwab, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 26345 La Morada Cir, Mission Viejo, CA 92691 Phone: 949-582-9061 Fax: 949-582-5458 | |
Kenneth D. Kushner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 26732 Crown Valley Pkwy, Suite 351, Mission Viejo, CA 92691 Phone: 949-364-1007 Fax: 949-364-0317 |