| Dr William Randolph Dodge Ii, | |
|
705 Marlin, Laguna Beach, CA 92651-4146 | |
| (760) 409-1165 | |
| Not Available |
| Full Name | Dr William Randolph Dodge Ii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 705 Marlin, 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 |
|---|---|---|---|
| 1588640312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A70260 (California) | Primary |
| Entity Name | Mission Viejo Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073542916 PECOS PAC ID: 2163335241 Enrollment ID: O20031106000308 |
| Entity Name | Mission Viejo Emergency Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134355597 PECOS PAC ID: 7315090271 Enrollment ID: O20090725000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Randolph Dodge Ii, 705 Marlin, Laguna Beach, CA 92651-4146 Ph: () - | Dr William Randolph Dodge Ii, 705 Marlin, Laguna Beach, CA 92651-4146 Ph: (760) 409-1165 |
Susan K. Munden, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 31872 Coast Hwy, Laguna Beach, CA 92651 Phone: 949-499-1311 | |
Dr. Timothy Earl Korber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Emerald Bay, Laguna Beach, CA 92651 Phone: 949-494-5154 | |
True Luu Mcmahan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 31872 South Coast Highway, Laguna Beach, CA 92651 Phone: 949-449-7193 | |
Michael George Bower, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 31872 Coast Hwy, Laguna Beach, CA 92651 Phone: 949-499-1311 | |
Lewis M Moss, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 364 Ocean Ave, Laguna Beach, CA 92651 Phone: 949-557-0610 | |
Dr. William Carl Anderson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 364 Ocean Avenue, Laguna Beach, CA 92651 Phone: 949-494-3740 |