| Dr Asif R Harsolia, MD | |
|
18111 Brookhurst St, Ste 0300, Fountain Valley, CA 92708-6728 | |
| (714) 962-7100 | |
| Not Available |
| Full Name | Dr Asif R Harsolia |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 24 Years |
| Location | 18111 Brookhurst St, Fountain Valley, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376565374 | NPI | - | NPPES |
| CR688X | Other | CA | PTAN |
| A99453 | Other | CA | STATE LICENSE |
| 0927400 | Other | AZ | BCBS AZ PROVIDER # |
| 7368874 | Other | AZ | AETNA PROVIDER # |
| 7905964 | Other | AZ | CIGNA PROVIDER # |
| 125097 | Medicaid | AZ | |
| 125097 | Other | AZ | CARE 1ST HLTH. PLAN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 35670 (Arizona) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | A99453 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorialcare Orange Coast Medical Center | Fountain valley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Radiation Oncology Medical | 6103049937 | 4 |
| Entity Name | Memorial Radiation Oncology Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477984466 PECOS PAC ID: 6103049937 Enrollment ID: O20140527000000 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Asif R Harsolia, MD 2650 Elm Ave, Ste 201, Long Beach, CA 90806-1651 Ph: (562) 492-6695 | Dr Asif R Harsolia, MD 18111 Brookhurst St, Ste 0300, Fountain Valley, CA 92708-6728 Ph: (714) 962-7100 |
Dr. Quoc-anh Ho, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11190 Warner Ave Ste 115, Fountain Valley, CA 92708 Phone: 714-210-0140 | |
John S Belville, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 17100 Euclid St, Radiology Department, Fountain Valley, CA 92708 Phone: 714-966-7200 Fax: 714-966-8039 | |
Dr. Ajmel A Puthawala, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 18111 Brookhurst St, Suite 0300, Fountain Valley, CA 92708 Phone: 714-962-7100 Fax: 714-963-7600 | |
Ronald Max Frug, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 17815 Newhope Street, Suite S, Fountain Valley, CA 92708 Phone: 714-431-0303 Fax: 714-431-0393 | |
Sheldon L Zide, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 17100 Euclid Street, Radiology Department, Fountain Valley, CA 92708 Phone: 714-966-7200 Fax: 714-966-8039 | |
Usama Mahmood, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St # Ll0300, Fountain Valley, CA 92708 Phone: 714-962-7100 Fax: 714-963-7600 |