| Dr Amanda Jean Garner, MD | |
|
13652 Cantara St, Panorama City, CA 91402-5423 | |
| (818) 375-2013 | |
| (818) 375-3802 |
| Full Name | Dr Amanda Jean Garner |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 13652 Cantara St, Panorama City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609818780 | NPI | - | NPPES |
| 00A790800 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A79080 (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 |
|---|---|
| Dr Amanda Jean Garner, MD 5710 Crescent Park E, #141, Playa Vista, CA 90094-2063 Ph: (310) 745-3704 | Dr Amanda Jean Garner, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2013 |
Yumi Christine Ishihara, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13651 Willard St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Karen Shih Tan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Emergency Department, Panorama City, CA 91402 Phone: 818-375-2013 | |
William W. Jou, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Christine A. Bloom, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Seth Jin Kutik, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13651 Willard St, Emergency Medicine Department, Panorama City, CA 91402 Phone: 818-375-2000 | |
Dr. Timothy Ting-han Chang, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-4231 | |
Arturo Salgado, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 |