| Dr Alan Miles Heilpern, MD | |
|
18321 Clark St, Tarzana, CA 91356-3501 | |
| (818) 708-5170 | |
| (818) 705-2595 |
| Full Name | Dr Alan Miles Heilpern |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 18321 Clark St, Tarzana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649219080 | NPI | - | NPPES |
| 00G457550 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD2014-0574 (New Mexico) | Primary |
| 207P00000X | Emergency Medicine | G45755 (California) | Secondary |
| Entity Name | Pacifica Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053350975 PECOS PAC ID: 9436058971 Enrollment ID: O20040712001555 |
| Entity Name | County Of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1780877613 PECOS PAC ID: 1850296534 Enrollment ID: O20090713000358 |
| Entity Name | Orange County Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508114711 PECOS PAC ID: 8123279056 Enrollment ID: O20121127000164 |
| Entity Name | Coast Plaza Emergency Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912308446 PECOS PAC ID: 7113249947 Enrollment ID: O20141206000362 |
| Entity Name | Corona Regional Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134629298 PECOS PAC ID: 9133481484 Enrollment ID: O20180326001396 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alan Miles Heilpern, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Dr Alan Miles Heilpern, MD 18321 Clark St, Tarzana, CA 91356-3501 Ph: (818) 708-5170 |
Dr. Jonathan Andrew Prince, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Neil Eric Canby, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Frederick Theodore Dennis, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Eric Wynne Snyder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5172 | |
Dr. Tracy Norman Lawrence, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Anthony Charles Hernandez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5170 Fax: 818-705-2595 | |
Dr. Chris Y Wang, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Providence Tarzana Medical Center, Tarzana, CA 91356 Phone: 818-708-5172 |