| Dr Thomas T Su, MD, PHD | |
|
633 N Central Ave, Suite 305, Glendale, CA 91203-1801 | |
| (818) 244-7281 | |
| (818) 244-5912 |
| Full Name | Dr Thomas T Su |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 21 Years |
| Location | 633 N Central Ave, Glendale, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346417276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A94221 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Su And Chang Dermatology Associates Apmc | 2062641103 | 3 |
| Entity Name | Su And Chang Dermatology Associates Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932547882 PECOS PAC ID: 2062641103 Enrollment ID: O20140212000893 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas T Su, MD, PHD Po Box 629, Pasadena, CA 91102-0629 Ph: (310) 528-5199 | Dr Thomas T Su, MD, PHD 633 N Central Ave, Suite 305, Glendale, CA 91203-1801 Ph: (818) 244-7281 |
Dr. Michael Novak, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 633 N Central Ave, Suite 305, Glendale, CA 91203 Phone: 818-244-7281 Fax: 818-244-5912 | |
Dr. Justine Hyoju Park, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 435 Arden Ave Ste 435, Glendale, CA 91203 Phone: 818-246-4936 Fax: 818-246-4937 | |
Alan M Mantell, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1818 Verdugo Blvd, Suite 304, Glendale, CA 91208 Phone: 818-790-3588 Fax: 818-790-6518 | |
Dr. Janice Park Kim, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 435 Arden Ave, #435, Glendale, CA 91203 Phone: 818-246-4936 Fax: 818-246-4937 | |
Dr. Donny Mehrabi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1505 Wilson Ter Ste 240, Glendale, CA 91206 Phone: 310-205-3555 | |
Mr. Oshin Bojalian, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 633 N Central Ave, #310, Glendale, CA 91203 Phone: 818-500-0712 Fax: 818-553-1918 |