| Dr Timothy Wayne Casarez, MD | |
|
5400 Balboa Blvd, Suite 202 Pediatric Cardiology Med Assoc Of So Cal, Encino, CA 91316-1502 | |
| (818) 784-6269 | |
| (818) 784-1531 |
| Full Name | Dr Timothy Wayne Casarez |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 5400 Balboa Blvd, Encino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992782148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | A73301 (California) | Primary |
| Entity Name | County of Ventura |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629167457 PECOS PAC ID: 7911810171 Enrollment ID: O20031112000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Wayne Casarez, MD 5400 Balboa Blvd, Suite 202 Pediatric Cardiology Med Assoc Of So Cal, Encino, CA 91316-1502 Ph: (818) 784-6269 | Dr Timothy Wayne Casarez, MD 5400 Balboa Blvd, Suite 202 Pediatric Cardiology Med Assoc Of So Cal, Encino, CA 91316-1502 Ph: (818) 784-6269 |
Dr. Eric Tyler Amparan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5400 Balboa Blvd Ste 326, Encino, CA 91316 Phone: 818-789-0941 Fax: 818-789-6726 |
Laura Bruckner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5400 Balboa Blvd Ste 326, Encino, CA 91316 Phone: 818-789-8775 Fax: 818-789-6726 |
Dr. Milton Leon Kolchins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5400 Balboa Blvd, Suite # 105, Encino, CA 91316 Phone: 818-789-0347 Fax: 818-789-3937 |
Dr. Samuel Sungwon Kim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5400 Balboa Blvd Ste 326, Encino, CA 91316 Phone: 818-789-0941 Fax: 818-789-6726 |
Dr. Saied Dallalzadeh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16661 Ventura Blvd Ste 718, Encino, CA 91436 Phone: 818-986-0006 Fax: 818-986-2333 |
Dr. Peter Rees Shulman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5353 Balboa Blvd, Suite 104, Encino, CA 91316 Phone: 818-789-7181 Fax: 818-986-8322 |
Yousef Mehrabi, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 16030 Ventura Blvd Ste 140, Encino, CA 91436 Phone: 818-609-9997 Fax: 818-609-9987 |