Daniel J Wall, MD | |
2121 E Coast Hwy, Ste 250, Corona Del Mar, CA 92625-1932 | |
(949) 721-6000 | |
(949) 721-6006 |
Full Name | Daniel J Wall |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 27 Years |
Location | 2121 E Coast Hwy, Corona Del Mar, 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 |
---|---|---|---|
1508852013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A74764 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 7800 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Csi Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930 |
Mailing Address | Practice Location Address |
---|---|
Daniel J Wall, MD 2121 E Coast Hwy, Ste 250, Corona Del Mar, CA 92625-1932 Ph: (925) 952-9003 | Daniel J Wall, MD 2121 E Coast Hwy, Ste 250, Corona Del Mar, CA 92625-1932 Ph: (949) 721-6000 |
Dr. Mark Minh Tran, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2121 E Coast Hwy Ste 110, Corona Del Mar, CA 92625 Phone: 949-629-4263 Fax: 949-629-4266 | |
Dr. Lina Jacklyn Kennedy, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2121 E Coast Hwy Ste 280, Corona Del Mar, CA 92625 Phone: 949-688-1288 | |
Dr. Madeline Lois Miller, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2600 E Coast Hwy, Suite 200, Corona Del Mar, CA 92625 Phone: 949-721-4161 | |
Dr. Catherine Hee Yong Lee, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2121 E Coast Hwy Ste 110, Corona Del Mar, CA 92625 Phone: 949-629-4263 Fax: 949-629-4266 |