| Dr Anthony Charles Hernandez, MD | |
|
18321 Clark St, Tarzana, CA 91356-3501 | |
| (818) 708-5170 | |
| (818) 705-2595 |
| Full Name | Dr Anthony Charles Hernandez |
|---|---|
| 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 |
|---|---|---|---|
| 1376587212 | NPI | - | NPPES |
| 00A745990 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A74599 (California) | Primary |
| Entity Name | Ventura Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518298686 PECOS PAC ID: 7618012063 Enrollment ID: O20100310000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Charles Hernandez, MD 5554 Poplar Blvd, Los Angeles, CA 90032-2450 Ph: (323) 221-3152 | Dr Anthony Charles Hernandez, 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. Chris Y Wang, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18321 Clark St, Providence Tarzana Medical Center, Tarzana, CA 91356 Phone: 818-708-5172 |