| Dr Kevin Khai Tuan Tieu, MD | |
|
16543 Brookhurst St, Fountain Valley, CA 92708-2343 | |
| (714) 418-9749 | |
| (714) 418-1047 |
| Full Name | Dr Kevin Khai Tuan Tieu |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 25 Years |
| Location | 16543 Brookhurst St, Fountain Valley, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154397768 | NPI | - | NPPES |
| 2012536 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A77268 (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 |
|---|---|---|
| Kevin Khai Tieu M D A Professional Corporation | 5698774941 | 2 |
| Family Choice Aco Inc | 7719379395 | 61 |
| Entity Name | Kevin Khai Tieu M D A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174693881 PECOS PAC ID: 5698774941 Enrollment ID: O20061213000628 |
| Entity Name | Family Choice Aco Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164988168 PECOS PAC ID: 0941634919 Enrollment ID: O20191227001654 |
| Entity Name | Family Choice Aco Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396416863 PECOS PAC ID: 7719379395 Enrollment ID: O20220111000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Khai Tuan Tieu, MD 16144 Gallatin St, Fountain Valley, CA 92708-1440 Ph: () - | Dr Kevin Khai Tuan Tieu, MD 16543 Brookhurst St, Fountain Valley, CA 92708-2343 Ph: (714) 418-9749 |
Dr. Michael Jordan Vizcarra, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 11180 Warner Ave, Suite 455, Fountain Valley, CA 92708 Phone: 714-556-0536 Fax: 714-435-9640 | |
Dr. William I Han, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 17150 Euclid St Ste 220, Fountain Valley, CA 92708 Phone: 714-444-3030 Fax: 949-419-2515 | |
Dr. Cynthia Arlene Cork, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11180 Warner Avenue, Suite 455, Fountain Valley, CA 92708 Phone: 714-556-0536 Fax: 714-435-9640 | |
Dr. Jamie E Kim, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St #4450, Fountain Valley, CA 92708 Phone: 714-848-2383 Fax: 714-848-4083 | |
Eleanor Senseney Hawkins, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9940 Talbert Ave, Suite 303, Fountain Valley, CA 92708 Phone: 714-378-5606 Fax: 714-378-5621 | |
Erica Dickson, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 11160 Warner Ave Ste 301, Fountain Valley, CA 92708 Phone: 714-210-5665 Fax: 714-210-0231 |