| Dr Thomas C Bent, MD | |
| 362 3rd St, Laguna Beach, CA 92651-2307 | |
| (949) 494-0761 | |
| (949) 494-3154 | 
| Full Name | Dr Thomas C Bent | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 362 3rd St, Laguna Beach, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093876583 | NPI | - | NPPES | 
| A38147 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | A38147 (California) | Primary | 
| Entity Name | Laguna Beach Community Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225149222 PECOS PAC ID: 5991861197 Enrollment ID: O20090312000261 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Thomas C Bent, MD 362 3rd St, Laguna Beach, CA 92651-2307 Ph: (949) 494-0761 | Dr Thomas C Bent, MD 362 3rd St, Laguna Beach, CA 92651-2307 Ph: (949) 494-0761 | 
| Dr. Korey Stephen Jorgensen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 362 3rd St, Laguna Beach, CA 92651 Phone: 949-494-0761 Fax: 949-494-3154 | |
| Dr. Amila Vimara Nissanka, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 303 Broadway St Ste 103, Laguna Beach, CA 92651 Phone: 949-665-6000 Fax: 949-670-4967 | |
| Anthony Martin Ocana, MD, CCFP, FASAM Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1968 S Coast Hwy # 3664, Laguna Beach, CA 92651 Phone: 604-803-8513 | |
| Dr. Jorge Rubal, MD, MBA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 362 3rd St, Laguna Beach, CA 92651 Phone: 949-494-0761 | |
| John Sanguedolce, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Glenneyre St, Laguna Beach, CA 92651 Phone: 949-209-9266 Fax: 949-209-9267 | |
| Dr. Anas M Aljammal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 370 Ocean Ave, Laguna Beach, CA 92651 Phone: 949-557-0610 Fax: 949-557-0611 |