Susan L Wallace, MD | |
13652 Cantara St, Panorama City, CA 91402-5423 | |
(818) 375-2000 | |
Not Available |
Full Name | Susan L Wallace |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 45 Years |
Location | 13652 Cantara St, Panorama City, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255402160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | G42602 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clinica Sierra Vista | 3870407505 | 136 |
Entity Name | Clinica Sierra Vista |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861494338 PECOS PAC ID: 3870407505 Enrollment ID: O20031117000928 |
Entity Name | Camarena Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891778114 PECOS PAC ID: 4880584317 Enrollment ID: O20040318000523 |
Entity Name | Tahoe Carson Valley Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834 |
Entity Name | Barton Healthcare System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235196015 PECOS PAC ID: 1850293960 Enrollment ID: O20040915000806 |
Entity Name | Clinica Sierra Vista |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740439314 PECOS PAC ID: 3870407505 Enrollment ID: O20090304000620 |
Entity Name | Peach Tree Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003863622 PECOS PAC ID: 7416978440 Enrollment ID: O20101104000566 |
Mailing Address | Practice Location Address |
---|---|
Susan L Wallace, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 | Susan L Wallace, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 |
Douglas L. Caldwell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Behnam Farahdel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Kaiser Permanente-business Office, Panorama City, CA 91402 Phone: 818-375-2809 Fax: 818-375-3034 | |
Dr. Philip Phan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8120 Woodman Avenue, Panorama City Medical Center, Panorama City, CA 91402 Phone: 818-375-2809 Fax: 818-375-4069 | |
Sidney Gold, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Eugene Pahk, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 14860 Roscoe Blvd Ste 200, Panorama City, CA 91402 Phone: 310-553-5203 | |
Nolan H. Thompson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 |