Ryan Ou, | |
905 Maple St Dept 470, Redwood City, CA 94063-2057 | |
(510) 213-9830 | |
Not Available |
Full Name | Ryan Ou |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 905 Maple St Dept 470, Redwood 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 |
---|---|---|---|
1457855074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A163824 (California) | Primary |
Entity Name | Bass Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174253405 PECOS PAC ID: 9032111281 Enrollment ID: O20070201000181 |
Mailing Address | Practice Location Address |
---|---|
Ryan Ou, 905 Maple St Dept 470, Redwood City, CA 94063-2057 Ph: (510) 213-9830 | Ryan Ou, 905 Maple St Dept 470, Redwood City, CA 94063-2057 Ph: (510) 213-9830 |
Michael S Oholleran, Surgery Medicare: Not Enrolled in Medicare Practice Location: 290 Redwood Shores Pkwy, Redwood City, CA 94065 Phone: 650-853-2135 | |
Derrick D. Taylor, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Harald U. Jasiulek, MD Surgery Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
John H. Ngai, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Lynn K Chang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Jerome Stefanko, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 |