Ryan Jay Kaneko, MD | |
3200 Long Beach Blvd, Long Beach, CA 90807-5062 | |
(562) 981-6865 | |
(562) 595-6471 |
Full Name | Ryan Jay Kaneko |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3200 Long Beach Blvd, Long 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 |
---|---|---|---|
1215026869 | NPI | - | NPPES |
00A822190 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A82219 (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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Ryan Jay Kaneko, MD 1600 E Hill St, Signal Hill, CA 90755-3612 Ph: (562) 424-6200 | Ryan Jay Kaneko, MD 3200 Long Beach Blvd, Long Beach, CA 90807-5062 Ph: (562) 981-6865 |
Dr. David C Kim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 562-933-8100 | |
Sunita Ravinder Idnani, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1703 Termino Ave, Suite 206, Long Beach, CA 90804 Phone: 562-961-0210 Fax: 562-961-0212 | |
Barry Arthur Steinmetz, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1760 Termino Ave, Suite 301, Long Beach, CA 90804 Phone: 562-933-3009 Fax: 562-933-8557 | |
Glenn Levine, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2801 Atlantic Ave, 3rd Floor, Long Beach, CA 90806 Phone: 562-933-8743 Fax: 562-933-8014 | |
Lorna Mcfarland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3833 Worsham Ave # 301, Long Beach, CA 90808 Phone: 562-595-5479 Fax: 562-988-7616 | |
Tara Sutherland, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2650 Elm Ave Ste 301, Long Beach, CA 90806 Phone: 562-728-5034 | |
Richard Eric Swensson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 562-933-3350 Fax: 562-933-3359 |