| Bradford Lively, PA-C | |
|
24012 Calle De La Plata Ste 150, Laguna Hills, CA 92653-3632 | |
| (949) 588-7246 | |
| Not Available |
| Full Name | Bradford Lively |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 24012 Calle De La Plata Ste 150, Laguna Hills, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134846835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Frank J. King, M.D., Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215165212 PECOS PAC ID: 1658427935 Enrollment ID: O20090929000361 |
| Entity Name | Hamid Fadavi DO Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811239536 PECOS PAC ID: 9133367246 Enrollment ID: O20130531000382 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford Lively, PA-C 24012 Calle De La Plata Ste 150, Laguna Hills, CA 92653-3632 Ph: (949) 588-7246 | Bradford Lively, PA-C 24012 Calle De La Plata Ste 150, Laguna Hills, CA 92653-3632 Ph: (949) 588-7246 |
Mrs. Meredith Derby Harsh, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 23181 Verdugo Dr, Ste 103a, Laguna Hills, CA 92653 Phone: 949-366-1053 Fax: 949-916-7710 |
Robbin Gonzales, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24411 Health Center Dr, Ste 350, Laguna Hills, CA 92653 Phone: 949-457-7900 |
Liana Shahinyan, Physician Assistant Medicare: Medicare Enrolled Practice Location: 25979 Atherton Ave, Laguna Hills, CA 92653 Phone: 949-767-6801 |
Tessa Gonzalez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24801 Clarington Dr, Laguna Hills, CA 92653 Phone: 949-436-3608 |
Sangwook Han, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 23181 Verdugo Dr, Ste 103a, Laguna Hills, CA 92653 Phone: 800-964-4364 |
Natalie Renee Terreri, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24401 Health Center Drive, Suite 200, Laguna Hills, CA 92653 Phone: 657-241-8788 Fax: 657-276-4729 |
Lauren Mieko Lum, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 23961 Calle De La Magdalena Ste 500, Laguna Hills, CA 92653 Phone: 949-855-1101 Fax: 949-289-9171 |