| Dr Kim Thien Tran Stafford, DO | |
|
800 N Main St, Santa Ana, CA 92701-3576 | |
| (714) 456-7002 | |
| Not Available |
| Full Name | Dr Kim Thien Tran Stafford |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 800 N Main St, Santa Ana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225270911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A10740 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kim Thien Tran Stafford, DO 800 N Main St, Santa Ana, CA 92701-3576 Ph: (714) 456-7002 | Dr Kim Thien Tran Stafford, DO 800 N Main St, Santa Ana, CA 92701-3576 Ph: (714) 456-7002 |
Dr. Rhett Mark Bartolome, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1900 E 4th St, Santa Ana, CA 92705 Phone: 714-967-4675 | |
Antonio Carbayo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1911 N Broadway, Santa Ana, CA 92706 Phone: 714-667-6900 Fax: 714-667-6116 | |
Dr. Darrel E Hopkins, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 N. Tustin Ave, Suite 200, Santa Ana, CA 92705 Phone: 714-689-9061 Fax: 714-689-9064 | |
Dr. Luis Manuel Sandoval, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1900 E 4th St, 2nd Floor, Santa Ana, CA 92705 Phone: 714-223-4589 Fax: 714-967-4575 | |
Dr. Judith Miriam Friedland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1725 W 17th St, Santa Ana, CA 92706 Phone: 714-834-8017 | |
Dr. John Mark Geiss, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 Hutton Centre Dr Ste 950, Santa Ana, CA 92707 Phone: 855-434-7763 Fax: 949-281-5550 | |
Michael Davis, Family Medicine Medicare: Medicare Enrolled Practice Location: 2720 S Bristol St Ste 110, Santa Ana, CA 92704 Phone: 888-499-9303 |