Vasiliy Ovakimyan, | |
200 West Mercy Cir, General Surgery, Camp Pendleton, CA 92055 | |
(760) 725-4357 | |
Not Available |
Full Name | Vasiliy Ovakimyan |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 200 West Mercy Cir, Camp Pendleton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962853788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | TRN23842 (Florida) | Secondary |
208600000X | Surgery | A172732 (California) | Primary |
Entity Name | San Carlos Apache Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
Mailing Address | Practice Location Address |
---|---|
Vasiliy Ovakimyan, 200 West Mercy Cir, General Surgery, Camp Pendleton, CA 92055 Ph: (760) 725-4357 | Vasiliy Ovakimyan, 200 West Mercy Cir, General Surgery, Camp Pendleton, CA 92055 Ph: (760) 725-4357 |
Thanh Tuyen Thi Huynh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: U.s. Naval Hospital, Camp Pendleton, CA 92055 Phone: 760-725-1356 | |
Benjamin David Hoagland, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-1288 | |
Dr. Evan Andrew Liggett, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 415-748-9927 | |
Augustus Gleason, MD Surgery Medicare: Medicare Enrolled Practice Location: 200 Mercy Circle, Department Of Surgery, Camp Pendleton, CA 92055 Phone: 760-725-1356 | |
Dr. Victoria Shoko Divis Mcdonald, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, General Surgery Clinic, Camp Pendleton, CA 92055 Phone: 760-725-1356 Fax: 760-725-0117 | |
Dr. William Charles Brunner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-725-1356 Fax: 760-725-0117 | |
Oleg A Ryabinin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-1356 |