| Hiren Mahendra Dave, MD | |
|
6640 Alton Pkwy, Department Of Radiology, Irvine, CA 92618-3734 | |
| (949) 932-7125 | |
| Not Available |
| Full Name | Hiren Mahendra Dave |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 6640 Alton Pkwy, Irvine, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316193915 | NPI | - | NPPES |
| 0A1104290 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301093184 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A110429 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Hiren Mahendra Dave, MD 6640 Alton Pkwy, Department Of Radiology, Irvine, CA 92618-3734 Ph: (949) 932-7125 | Hiren Mahendra Dave, MD 6640 Alton Pkwy, Department Of Radiology, Irvine, CA 92618-3734 Ph: (949) 932-7125 |
Dr. Ngoc N. Le, Radiology Medicare: Medicare Enrolled Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 800-826-4673 | |
Adam Wootton, ARRT(R)(MR) Radiology Medicare: Not Enrolled in Medicare Practice Location: 6640 Alton Pkwy, Irvine, CA 92618 Phone: 714-928-7715 | |
Dr. Julius Kung Weng, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 949-671-4673 | |
Dr. Salma H. Khan, M D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4950 Barranca Pkwy, Suite 201, Irvine, CA 92604 Phone: 949-294-1550 Fax: 949-653-6192 | |
Neil K Goldstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 Reynolds Ave Ste 110, Irvine, CA 92614 Phone: 949-398-7472 Fax: 949-209-0407 | |
Dr. E. Edmund Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 16100 Sand Canyon Ave Ste 130, Irvine, CA 92618 Phone: 713-792-3008 Fax: 713-792-4580 | |
Dr. Dina M. Ragheb, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 626-256-4673 |