Grace Choi Kang, OD | |
13652 Cantara St Bldg 2, Panorama City, CA 91402-5423 | |
(818) 375-3672 | |
Not Available |
Full Name | Grace Choi Kang |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 13652 Cantara St Bldg 2, Panorama 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 |
---|---|---|---|
1720138373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 12557T (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Grace Choi Kang, OD 2401 Jolley Dr, Burbank, CA 91504-2446 Ph: (626) 590-6451 | Grace Choi Kang, OD 13652 Cantara St Bldg 2, Panorama City, CA 91402-5423 Ph: (818) 375-3672 |
Dr. Julie Hwang, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-3672 | |
Pharmpro Network Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14500 Roscoe Blvd Fl 4, Panorama City, CA 91402 Phone: 818-448-6847 Fax: 818-474-7290 | |
Deborah Cohen, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14425 Chase St, Panorama City, CA 91402 Phone: 818-891-6711 | |
Mrs. Sandra Marin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, North 2 Bldg, Panorama City, CA 91402 Phone: 818-414-8804 | |
Pat H. Nguyen, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8333 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-893-3132 Fax: 818-893-4293 | |
Jeong-ah J Kim, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Alexander Bennett, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 14425 Chase St, Panorama City, CA 91402 Phone: 818-891-6711 |