| Dr Robert Emmitt Mccoy, MD | |
|
1950 Sunnycrest Dr, Ste 2600, Fullerton, CA 92835-3638 | |
| (714) 446-5260 | |
| (714) 446-5265 |
| Full Name | Dr Robert Emmitt Mccoy |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1950 Sunnycrest Dr, Fullerton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518961911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A43126 (California) | Primary |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Emmitt Mccoy, MD 1950 Sunny Crest Dr Ste 2600, Fullerton, CA 92835-3644 Ph: () - | Dr Robert Emmitt Mccoy, MD 1950 Sunnycrest Dr, Ste 2600, Fullerton, CA 92835-3638 Ph: (714) 446-5260 |
Razmik Ghukasyan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835 Phone: 714-408-4249 Fax: 714-525-0123 | |
Dr. Courtney Anne Vito, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd Ste 33001, Fullerton, CA 92835 Phone: 714-446-5296 Fax: 714-665-4690 | |
Michael Tsinberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835 Phone: 714-626-8630 Fax: 714-626-8659 | |
Dong Hum Yoon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835 Phone: 714-408-4249 | |
John Nastasi, Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835 Phone: 714-778-1032 | |
Amanda C Purdy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835 Phone: 714-408-4249 |