| Dr Shahryar Masouem, MD | |
|
4790 Irvine Blvd Ste 105-337, Irvine, CA 92620-1973 | |
| (714) 512-2440 | |
| (949) 264-8221 |
| Full Name | Dr Shahryar Masouem |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 4790 Irvine Blvd Ste 105-337, Irvine, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811166655 | NPI | - | NPPES |
| 1811166655 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A101561 (California) | Primary |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Entity Name | Magella Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376640086 PECOS PAC ID: 7214827591 Enrollment ID: O20040318001666 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shahryar Masouem, MD 4790 Irvine Blvd Ste 105-337, Irvine, CA 92620-1973 Ph: (714) 512-2440 | Dr Shahryar Masouem, MD 4790 Irvine Blvd Ste 105-337, Irvine, CA 92620-1973 Ph: (714) 512-2440 |
Dr. Tiffany Wong Dote, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6650 Alton Pkwy, Women's Health Services Attn: Maria Vasquez, Irvine, CA 92618 Phone: 714-644-2381 Fax: 949-932-6348 | |
Dr. Jessica H Chun, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 16105 Sand Canyon Ave Ste 200, Irvine, CA 92618 Phone: 949-829-5533 Fax: 949-581-9158 | |
Ms. Maryellen Kathryn Shannon, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6 Hughes, Ste 100, Irvine, CA 92618 Phone: 949-680-1880 Fax: 949-680-1881 | |
Miss Lisa Renee Crane, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4050 Barranca Pkwy Ste 200, Irvine, CA 92604 Phone: 949-559-1911 Fax: 949-559-4071 | |
Pantea Mozayeni, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4050 Barranca Pkwy Ste 200, Irvine, CA 92604 Phone: 949-559-1911 Fax: 949-559-4071 | |
Noah Rodriguez, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6650 Alton Pkwy, Medical Office Building 2, 3rd Floor, Irvine, CA 92618 Phone: 949-932-5685 Fax: 949-932-6393 | |
Dr. James P Lin, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 16300 Sand Canyon Ave, Suite 901, Irvine, CA 92618 Phone: 949-453-8600 Fax: 949-453-8601 |