| Honzen Ou, MD | |
|
13768 Roswell Ave., Ste. 218, Chino, CA 91710 | |
| (909) 464-9119 | |
| (909) 464-2201 |
| Full Name | Honzen Ou |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 13768 Roswell Ave., Chino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215017413 | NPI | - | NPPES |
| 00A309840 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A30984 (California) | Primary |
| Entity Name | Honzen Ou Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548487366 PECOS PAC ID: 0840472239 Enrollment ID: O20110307000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Honzen Ou, MD 13768 Roswell Ave., Ste. 218, Chino, CA 91710 Ph: (909) 464-9119 | Honzen Ou, MD 13768 Roswell Ave., Ste. 218, Chino, CA 91710 Ph: (909) 464-9119 |
Huda Nasani, Surgery Medicare: Not Enrolled in Medicare Practice Location: 5451 Walnut Ave, Chino, CA 91710 Phone: 909-464-8600 | |
Dr. Alana Harrison, DO Surgery Medicare: Medicare Enrolled Practice Location: 13768 Roswell Ave, Suite 218, Chino, CA 91710 Phone: 909-464-9119 Fax: 909-464-2201 | |
Babak Farzaneh, Surgery Medicare: Not Enrolled in Medicare Practice Location: 13768 Roswell Ave, Suite 222, Chino, CA 91710 Phone: 909-590-2299 Fax: 909-590-7755 | |
Dr. Paul Pm Luo, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5385 Walnut Ave, Suite 7, Chino, CA 91710 Phone: 909-464-9119 Fax: 909-464-2201 | |
Dr. Ediltrodito Paez Quianzon, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 13193 Central Ave, Suite 100, Chino, CA 91710 Phone: 909-464-9675 Fax: 909-590-3898 |