| Daniel Owen Lareaux, | |
|
101 The City Dr S, Orange, CA 92868-3201 | |
| (714) 456-8888 | |
| Not Available |
| Full Name | Daniel Owen Lareaux |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 101 The City Dr S, 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 |
|---|---|---|---|
| 1629606173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101275458 (Virginia) | Secondary |
| 207P00000X | Emergency Medicine | A184974 (California) | Primary |
| Entity Name | Regents Of The University Of |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154379394 PECOS PAC ID: 7517869605 Enrollment ID: O20040120001119 |
| Entity Name | Somagen Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396058137 PECOS PAC ID: 1557530151 Enrollment ID: O20110817000276 |
| Entity Name | Somagen Healthcare Ii Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316225147 PECOS PAC ID: 4981877735 Enrollment ID: O20111024000461 |
| Entity Name | Somagen Healthcare Iii Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558788620 PECOS PAC ID: 8921225830 Enrollment ID: O20140815001327 |
| Entity Name | Team Physicians Of Southern California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225499015 PECOS PAC ID: 0446545354 Enrollment ID: O20160816003061 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Owen Lareaux, 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5352 | Daniel Owen Lareaux, 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-8888 |
Joseph Villarreal, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Building 1a, Room 1009, Orange, CA 92868 Phone: 714-456-5239 | |
Scott Rudkin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-2986 | |
Joelle Reynard, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Building 1a, Room 1009, Orange, CA 92868 Phone: 714-456-5239 | |
Dr. Inna Shniter, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 W Stewart Dr, Orange, CA 92868 Phone: 714-771-8113 | |
John C Fox, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-2986 | |
Miss Shannon Louise Toohey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 The City Drive South, Bldg 200 , Suite 710, Rt 128-01, Orange, CA 92868 Phone: 715-456-5239 | |
Wirachin Hoonpongsimanont, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-5705 |