| Dr Thomas Edward Blair, MD | |
|
14020 Old Harbor Ln Apt 203, Marina Del Rey, CA 90292-7309 | |
| (202) 365-3486 | |
| (310) 782-1763 |
| Full Name | Dr Thomas Edward Blair |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 14020 Old Harbor Ln Apt 203, Marina Del Rey, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730440025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A126929 (California) | Primary |
| Entity Name | Victory Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932402716 PECOS PAC ID: 9133301732 Enrollment ID: O20110302000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Edward Blair, MD 14020 Old Harbor Ln Apt 203, Marina Del Rey, CA 90292-7309 Ph: (202) 365-3486 | Dr Thomas Edward Blair, MD 14020 Old Harbor Ln Apt 203, Marina Del Rey, CA 90292-7309 Ph: (202) 365-3486 |
Dr. Edward J. Chung, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4560 Admiralty Way, 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379 | |
Dr. Seth Adam Brener, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 | |
Barry J Borm, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911 | |
Dr. Timothy C Bullard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 108-273-7003 | |
Paula Gonella, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911 | |
Dr. Kirsten Elizabeth Mewaldt, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Unit #1604, Marina Del Rey, CA 90292 Phone: 626-354-4874 Fax: 650-723-0121 | |
Ryan Yavorsky, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379 |