Tiffany Lynn Mathias, MD | |
441 Old Newport Blvd, Newport Beach, CA 92663-4233 | |
(949) 491-9991 | |
Not Available |
Full Name | Tiffany Lynn Mathias |
---|---|
Gender | Female |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 441 Old Newport Blvd, Newport 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 |
---|---|---|---|
1891144580 | NPI | - | NPPES |
A161559 | Other | CA | MEDICAL LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MT211248 (Pennsylvania) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | A161559 (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 |
Entity Name | Rapid Care Enterprises, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023560604 PECOS PAC ID: 4789964040 Enrollment ID: O20161205000285 |
Mailing Address | Practice Location Address |
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Tiffany Lynn Mathias, MD 230 N Broad St, Philadelphia, PA 19102-1121 Ph: (215) 762-2632 | Tiffany Lynn Mathias, MD 441 Old Newport Blvd, Newport Beach, CA 92663-4233 Ph: (949) 491-9991 |
Dr. Balaji S Charlu, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-722-7038 Fax: 949-630-4900 | |
Mr. Sten Erik Kramer, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Avocado Ave, Suite 307, Newport Beach, CA 92660 Phone: 949-720-1944 Fax: 949-720-9710 | |
Dr. Oran Mehrnia, DO Pain Medicine Medicare: Medicare Enrolled Practice Location: 9132 Residencia, Newport Beach, CA 92660 Phone: 805-404-3696 |