Dr Pane Aksone Nouvong, DPM | |
200 Medical Plaza Suite 526, Los Angeles, CA 90095-2007 | |
(310) 267-0172 | |
(310) 725-4037 |
Full Name | Dr Pane Aksone Nouvong |
---|---|
Gender | Female |
Speciality | Podiatrist - Foot Surgery |
Location | 200 Medical Plaza Suite 526, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144326729 | NPI | - | NPPES |
E4265 | Other | CA | CA DPM LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | E4265 (California) | Secondary |
213ES0131X | Podiatrist - Foot Surgery | E4265 (California) | Primary |
Provider Name | The Regents Of The University Of California |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447218086 PECOS PAC ID: 5698687762 Enrollment ID: O20031105000702 |
Mailing Address | Practice Location Address |
---|---|
Dr Pane Aksone Nouvong, DPM 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Dr Pane Aksone Nouvong, DPM 200 Medical Plaza Suite 526, Los Angeles, CA 90095-2007 Ph: (310) 267-0172 |
West Beverly Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3545 Griffith Park Blvd, Los Angeles, CA 90027 Phone: 323-664-4331 Fax: 323-664-4331 | |
Steve M Tung, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3616 E 1st St, Los Angeles, CA 90063 Phone: 323-264-6157 | |
University Podiatry Group, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 100 Ucla Medical Plz, #460, Los Angeles, CA 90095 Phone: 310-443-8999 Fax: 310-208-4847 | |
Western Foot & Ankle Center Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 966 S Western Ave Ste 205, Los Angeles, CA 90006 Phone: 323-733-1500 Fax: 323-733-1724 | |
Dr. Pegah Samouhi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8631 W 3rd St, Los Angeles, CA 90048 Phone: 310-657-2828 | |
University Foot And Ankle Institute A Podiatric Surgical Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3984 S Figueroa St, Los Angeles, CA 90037 Phone: 213-747-7272 Fax: 310-791-3311 | |
Charles E Ananian, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3616 E 1st St, Los Angeles, CA 90063 Phone: 323-264-6157 Fax: 323-264-0099 |