| Chad Sudoko, | |
|
1201 W La Veta Ave, Orange, CA 92868-4203 | |
| (714) 509-7094 | |
| (714) 953-5462 |
| Full Name | Chad Sudoko |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology - Pediatric Otolaryngology |
| Location | 1201 W La Veta Ave, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366949091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MD475150 (Pennsylvania) | Secondary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | A202425 (California) | Primary |
| Entity Name | Children's Surgical Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326117185 PECOS PAC ID: 9739083494 Enrollment ID: O20040209000124 |
| Entity Name | Mount Nittany Medical Center Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598992554 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Sudoko, 1201 W La Veta Ave, Orange, CA 92868-4203 Ph: (714) 509-7094 | Chad Sudoko, 1201 W La Veta Ave, Orange, CA 92868-4203 Ph: (714) 509-7094 |
Roger L Crumley, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-2986 | |
Gurpreet Singh Ahuja, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1010 W La Veta Ave, Suite 640, Orange, CA 92868 Phone: 714-633-4020 Fax: 714-953-5462 | |
Dr. William Armstrong, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 | |
Dr. William Clay Cohen, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1010 W La Veta Ave Ste 445, Orange, CA 92868 Phone: 714-628-1313 Fax: 714-628-1319 | |
Dr. Dimitry B Goufman, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 302 West Laveta Ave., Suite 201, Orange, CA 92866 Phone: 714-835-4404 Fax: 714-532-6563 | |
Edward Su-chong Lee, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1140 W La Veta Ave, Ste. 520, Orange, CA 92868 Phone: 714-543-2000 | |
Dr. Sunil Verma, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Drive South Bldg 56 Ste 500, Orange, CA 92868 Phone: 714-456-5753 Fax: 608-263-6199 |