Thomas Pham, DO | |
4316 Motor Ave, Culver City, CA 90232-3449 | |
(510) 461-4447 | |
Not Available |
Full Name | Thomas Pham |
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Gender | Male |
Speciality | Pediatrics |
Location | 4316 Motor Ave, Culver 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 |
---|---|---|---|
1124554639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 20A16896 (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: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Thomas Pham, DO 4316 Motor Ave, Culver City, CA 90232-3449 Ph: () - | Thomas Pham, DO 4316 Motor Ave, Culver City, CA 90232-3449 Ph: (510) 461-4447 |
Rachel Barbour, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3831 Hughes Ave Ste 502, Culver City, CA 90232 Phone: 818-361-5437 | |
Margo Patricia Deleaver, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave Ste 601, Culver City, CA 90232 Phone: 310-838-4048 Fax: 310-838-0491 | |
Hubert Anthony Russell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave Ste 601, Culver City, CA 90232 Phone: 310-204-0223 Fax: 310-204-4251 | |
Stacey Shuai, Pediatrics Medicare: Medicare Enrolled Practice Location: 5901 Green Valley Cir Ste 405, Culver City, CA 90230 Phone: 424-266-7474 | |
Lauren Wu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4700 Inglewood Blvd Ste 101, Culver City, CA 90230 Phone: 310-392-8636 | |
Michael A Kass, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave, Ste 502, Culver City, CA 90232 Phone: 310-204-7030 Fax: 310-204-7033 |