| Brandon Murti, | |
|
1955 Sunny Crest Dr Ste 110, Fullerton, CA 92835-3653 | |
| (714) 578-8882 | |
| Not Available |
| Full Name | Brandon Murti |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 1955 Sunny Crest Dr Ste 110, Fullerton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396002689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | A129855 (California) | Primary |
| Entity Name | County Of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
| 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 |
|---|---|
| Brandon Murti, 1955 Sunny Crest Dr Ste 110, Fullerton, CA 92835-3653 Ph: () - | Brandon Murti, 1955 Sunny Crest Dr Ste 110, Fullerton, CA 92835-3653 Ph: (714) 578-8882 |
Maren Radcliffe Ross Sowerby, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978 | |
Hao Quy Ngo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978 | |
Phillip Unger, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-992-3978 | |
Bradley A Jackson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-992-3978 | |
Alan M Cohen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 515 E Commonwealth Ave, Fullerton, CA 92832 Phone: 714-871-7118 Fax: 714-871-3372 | |
Edgar Carmen Stambuk, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978 | |
Samuel Lowry Maxwell Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978 |