Samantha Phung, DO | |
4323 W Riverside Dr, Burbank, CA 91505-4044 | |
(818) 556-2700 | |
Not Available |
Full Name | Samantha Phung |
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Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 4323 W Riverside Dr, Burbank, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497252969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 20A20980 (California) | Primary |
Entity Name | Ucla Radiology Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881670248 PECOS PAC ID: 8921902065 Enrollment ID: O20031120001026 |
Entity Name | Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538 |
Entity Name | Martin Luther King Jr Community Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311 |
Mailing Address | Practice Location Address |
---|---|
Samantha Phung, DO 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Samantha Phung, DO 4323 W Riverside Dr, Burbank, CA 91505-4044 Ph: (818) 556-2700 |
Dr. Norman Robert Silverman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2820 N Ontario St, Burbank, CA 91504 Phone: 208-292-4322 | |
Daniel Wonil Lee, MD Radiology Medicare: Medicare Enrolled Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-847-6049 Fax: 818-847-4842 | |
Dr. Leslie St. Royal, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2901 Mystic View Pl, Burbank, CA 91504 Phone: 818-606-7540 | |
Marc Lee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1624 W Olive Ave, Suite F, Burbank, CA 91506 Phone: 818-843-2835 Fax: 818-843-3310 | |
Dr. Mohammad Reza Dadsetan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 225 S Glenoaks Blvd, Burbank, CA 91502 Phone: 818-843-1919 Fax: 818-843-3587 | |
Samuel Tokuyama, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 855 Brown Dr, Burbank, CA 91504 Phone: 818-848-1945 |