| Derek Antoku, MD | |
|
5901 E 7th St, Long Beach, CA 90822-5201 | |
| (562) 826-8000 | |
| Not Available |
| Full Name | Derek Antoku |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 5901 E 7th St, Long Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538652680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | A173923 (California) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | A173923 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Antoku, MD 5901 E 7th St, Long Beach, CA 90822-5201 Ph: (562) 826-8000 | Derek Antoku, MD 5901 E 7th St, Long Beach, CA 90822-5201 Ph: (562) 826-8000 |
Sohrab Tanavoli, D.O Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-8000 | |
Ngoc-tram Gia Tran, D.O Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2888 Long Beach Blvd Ste 235, Long Beach, CA 90806 Phone: 562-803-2486 | |
Michael A Raya, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2600 Redondo Ave, Long Beach, CA 90806 Phone: 562-988-7000 | |
Meggan Chappell, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3833 Worsham Ave Ste 300, Long Beach, CA 90808 Phone: 562-595-5421 Fax: 562-426-2862 | |
Dr. Maurice A Bell, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4100 Long Beach Blvd, Suite 200, Long Beach, CA 90807 Phone: 562-981-2355 Fax: 562-981-2920 | |
Katya C Corado, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1333 Chestnut Ave, Long Beach, CA 90813 Phone: 562-599-8601 Fax: 562-218-0853 | |
David Khoa Cao, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 562-426-3333 |