| Dr Kychuong Van, MD | |
|
10362 Bolsa Ave, Bolsa Medical Group, Westminster, CA 92683-6763 | |
| (714) 531-2091 | |
| (714) 531-1403 |
| Full Name | Dr Kychuong Van |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 10362 Bolsa Ave, Westminster, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942237144 | NPI | - | NPPES |
| 00A344300 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A34430 (California) | Primary |
| Entity Name | Bolsa Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992732192 PECOS PAC ID: 2769458264 Enrollment ID: O20040907000669 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kychuong Van, MD 10362 Bolsa Ave, Bolsa Medical Group, Westminster, CA 92683-6763 Ph: (714) 531-2091 | Dr Kychuong Van, MD 10362 Bolsa Ave, Bolsa Medical Group, Westminster, CA 92683-6763 Ph: (714) 531-2091 |
Joo Yang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 15464 Goldenwest St., Westminster, CA 92683 Phone: 714-891-9008 Fax: 714-897-7949 | |
Nghiem Duc Dang, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 14571 Magnolia St, Suite 208, Westminster, CA 92683 Phone: 714-379-6245 Fax: 714-379-6247 | |
Li Nguyen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15751 Brookhurst St Ste 118, Westminster, CA 92683 Phone: 714-775-8728 Fax: 714-775-2194 | |
Dr. Tuan H Nguyen, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9842 Bolsa Ave Ste 200, Westminster, CA 92683 Phone: 714-979-1445 Fax: 714-979-1422 |