| Caroline Lee Wallner, MD | |
|
2625 W Alameda Ave Ste 310, Burbank, CA 91505-4819 | |
| (310) 794-7700 | |
| (818) 260-8718 |
| Full Name | Caroline Lee Wallner |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 16 Years |
| Location | 2625 W Alameda Ave Ste 310, Burbank, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114169760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | A113187 (California) | Secondary |
| 208800000X | Urology | A113187 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Saint Joseph Medical Ctr | Burbank, CA | Hospital |
| Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Regents Of The University Of California | 3678545431 | 42 |
| Entity Name | The Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154389799 PECOS PAC ID: 3678545431 Enrollment ID: O20040811000949 |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline Lee Wallner, MD 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 Ph: () - | Caroline Lee Wallner, MD 2625 W Alameda Ave Ste 310, Burbank, CA 91505-4819 Ph: (310) 794-7700 |
Dr. Joshua Gottlieb, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2701 W Alameda Ave Ste 200, Burbank, CA 91505 Phone: 818-853-9659 Fax: 818-843-0380 | |
Dr. Arthur D Vatz, MD Urology Medicare: Medicare Enrolled Practice Location: 191 S Buena Vista St, Suite 235, Burbank, CA 91505 Phone: 818-524-2003 Fax: 818-524-2807 | |
Dr. Ramkishen Narayanan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 181 S Buena Vista St Fl 4, Burbank, CA 91505 Phone: 818-840-0921 Fax: 818-840-7064 | |
Dr. Armen Antranik Kassabian, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2701 W Alameda Ave, Ste. 506, Burbank, CA 91505 Phone: 818-845-0611 | |
Dr. John Lam, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 191 S Buena Vista St, Ste 235, Burbank, CA 91505 Phone: 818-524-2003 Fax: 818-524-2807 | |
Dr. Sanford Lee Polse, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2625 W Alameda Ave, 306, Burbank, CA 91505 Phone: 818-843-4604 Fax: 818-843-4698 | |
Dr. Sriram Venkata Eleswarapu, M.D., PH.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2625 W Alameda Ave Ste 310, Burbank, CA 91505 Phone: 310-794-7700 Fax: 818-260-8718 |