| Dr Gordon E Van Tassell, DO | |
|
1300 N La Brea Ave, Hollywood, CA 90028-7504 | |
| (323) 464-1336 | |
| (323) 464-2163 |
| Full Name | Dr Gordon E Van Tassell |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1300 N La Brea Ave, Hollywood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104864024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6929 (California) | Primary |
| Entity Name | Anaheim Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962680033 PECOS PAC ID: 8325118029 Enrollment ID: O20080606000728 |
| Entity Name | Exer Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588901532 PECOS PAC ID: 9032359534 Enrollment ID: O20130705000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gordon E Van Tassell, DO 1300 N La Brea Ave, Hollywood, CA 90028-7504 Ph: (323) 464-1336 | Dr Gordon E Van Tassell, DO 1300 N La Brea Ave, Hollywood, CA 90028-7504 Ph: (323) 464-1336 |
Dr. Canaan Arceneaux, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6043 Hollywood Blvd, Hollywood, CA 90028 Phone: 323-653-1990 | |
Dr. Awad Anthony, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 6368 Hollywood Blvd, Hollywood, CA 90028 Phone: 323-469-5555 |