| Dr Diem Phuc Thuc Banh, DO | |
|
26520 Cactus Ave, Gme Office Room A1005, Moreno Valley, CA 92555-3927 | |
| (951) 486-5908 | |
| (951) 486-5901 |
| Full Name | Dr Diem Phuc Thuc Banh |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 26520 Cactus Ave, Moreno Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639465446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 0102204489 (Virginia) | 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 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | Talbert Anesthesia Group Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144626714 PECOS PAC ID: 6406171461 Enrollment ID: O20150213001921 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diem Phuc Thuc Banh, DO 26520 Cactus Ave, Gme Office Room A1005, Moreno Valley, CA 92555-3927 Ph: (951) 486-5908 | Dr Diem Phuc Thuc Banh, DO 26520 Cactus Ave, Gme Office Room A1005, Moreno Valley, CA 92555-3927 Ph: (951) 486-5908 |
Adam K Yuan, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Dr. Yifei Zheng, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 27300 Iris Ave, Moreno Valley, CA 92555 Phone: 619-373-5740 | |
Michael Armaneous, Anesthesiology Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Chang-ho L. Chon, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Gme Office, Rm A1005, Moreno Valley, CA 92555 Phone: 951-486-5908 Fax: 951-486-5910 | |
Craig E Stansbury, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4574 | |
Paul Lee, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, General Medical Education, Moreno Valley, CA 92555 Phone: 951-486-5908 Fax: 951-486-5910 | |
Kenneth Nguyen, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 585-350-8039 |