| Bradley Sean Neutel, MD | |
|
25381 Commercentre Dr, Lake Forest, CA 92630-8860 | |
| (949) 881-5683 | |
| (949) 810-8417 |
| Full Name | Bradley Sean Neutel |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 7 Years |
| Location | 25381 Commercentre Dr, Lake Forest, 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 |
|---|---|---|---|
| 1104482389 | NPI | - | NPPES |
| E1589598 | Other | CA | DRIVER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A177496 (California) | Secondary |
| 207R00000X | Internal Medicine | A177496 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Jude Medical Center | Fullerton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1329 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Sean Neutel, MD 25381 Commercentre Dr, Lake Forest, CA 92630-8860 Ph: (949) 881-5683 | Bradley Sean Neutel, MD 25381 Commercentre Dr, Lake Forest, CA 92630-8860 Ph: (949) 881-5683 |
Sam Pourbabak, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23331 El Toro Rd, 102, Lake Forest, CA 92630 Phone: 949-916-9100 Fax: 949-916-0091 | |
Suma Oommen, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 24432 Muirlands Blvd Ste 219, Lake Forest, CA 92630 Phone: 949-852-9038 | |
Dr. Brian Escala Chavez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23331 El Toro Rd, Suite 102, Lake Forest, CA 92630 Phone: 949-916-9100 Fax: 949-916-0091 | |
Sahar E. Lashin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22972 El Toro Rd # C3, Lake Forest, CA 92630 Phone: 949-749-1049 Fax: 949-749-1048 | |
Dr. Ku-juey Raymond Chang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23331 El Toro Rd, Suite 102, Lake Forest, CA 92630 Phone: 949-916-9100 Fax: 949-916-0091 | |
Mohammed Waseem Uddin Ansari, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22972 El Toro Rd, Lake Forest, CA 92630 Phone: 816-585-4373 |