| Dr Jolian J Dahl, MD | |
|
11700 W 2nd Pl Ste 280, Lakewood, CO 80228-1717 | |
| (720) 321-8680 | |
| (720) 321-8681 |
| Full Name | Dr Jolian J Dahl |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 10 Years |
| Location | 11700 W 2nd Pl Ste 280, Lakewood, Colorado |
| 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 |
|---|---|---|---|
| 1124474986 | NPI | - | NPPES |
| 9000259417 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | DR.0077027 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital - Los Angeles | Los angeles, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11244 |
| 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 Jolian J Dahl, MD 1215 Lee St, Box 800719, Charlottesville, VA 22908-0816 Ph: (434) 924-2150 | Dr Jolian J Dahl, MD 11700 W 2nd Pl Ste 280, Lakewood, CO 80228-1717 Ph: (720) 321-8680 |
Dr. Patrick Donohue Rudersdorf, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11700 W 2nd Pl, Suite 280, Lakewood, CO 80228 Phone: 720-321-8680 Fax: 720-321-8681 | |
Dr. Daniel Gross, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11700 W 2nd Pl, Mob 2 Ste 210, Lakewood, CO 80228 Phone: 720-321-8080 | |
Carlos Humberto Corral, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11700 W 2nd Pl Ste 280, Lakewood, CO 80228 Phone: 720-321-8680 Fax: 720-321-8681 |