| Alex Hd Phan, MD | |
|
2488 N California St, Stockton, CA 95204-5508 | |
| (209) 948-3333 | |
| (209) 948-2665 |
| Full Name | Alex Hd Phan |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 24 Years |
| Location | 2488 N California St, Stockton, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316091531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | A83716 (California) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A83716 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dameron Hospital | Stockton, CA | Hospital |
| St Joseph's Medical Center Of Stockton | Stockton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alpine Orthopaedic Medical Group Inc | 5395701460 | 9 |
| Sutter Valley Medical Foundation | 9830094515 | 2136 |
| Entity Name | Alpine Orthopaedic Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114005352 PECOS PAC ID: 5395701460 Enrollment ID: O20041209000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Hd Phan, MD 2488 N California St, Stockton, CA 95204-5508 Ph: (209) 948-3333 | Alex Hd Phan, MD 2488 N California St, Stockton, CA 95204-5508 Ph: (209) 948-3333 |
Kartic Rajput, M.D., PH.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2545 W Hammer Ln, Stockton, CA 95209 Phone: 209-941-0371 Fax: 209-951-2469 | |
Dr. Ravi R Pankhaniya, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 10200 Trinity Pkwy, Suite 206, Stockton, CA 95219 Phone: 209-207-0555 Fax: 209-916-4900 |