| Dr Joseph Tri Phan, MD | |
|
4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | |
| (310) 823-8911 | |
| Not Available |
| Full Name | Dr Joseph Tri Phan |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 33 Years |
| Location | 4650 Lincoln Blvd, Marina Del Rey, 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 |
|---|---|---|---|
| 1760427223 | NPI | - | NPPES |
| 003114299A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G158474 (California) | Secondary |
| 208M00000X | Hospitalist | 64717 (Georgia) | Secondary |
| 208M00000X | Hospitalist | G158474 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cedar-sinai Marina Del Rey Hospital | Marina del rey, CA | Hospital |
| Cedars-sinai Medical Center | Los angeles, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedars-sinai Medical Care Foundation | 0941106645 | 1451 |
| Entity Name | Cedars-sinai Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Tri Phan, MD 4140 W 190th St, Torrance, CA 90504-5513 Ph: () - | Dr Joseph Tri Phan, MD 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 Ph: (310) 823-8911 |
Carlo Medina, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 201, Marina Del Rey, CA 90292 Phone: 310-823-3443 Fax: 310-305-7470 | |
Kambiz Farbakhsh, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911 Fax: 310-823-8911 |