| John Thanasukarn, MD | |
|
8530 Firestone Blvd, Downey, CA 90241-4926 | |
| (562) 867-7999 | |
| Not Available |
| Full Name | John Thanasukarn |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 8530 Firestone Blvd, Downey, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144674003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A156685 (California) | Primary |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | Sac Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
| Mailing Address | Practice Location Address |
|---|---|
| John Thanasukarn, MD 54701 File Number, Los Angeles, CA 90074-4701 Ph: (096) 514-3009 | John Thanasukarn, MD 8530 Firestone Blvd, Downey, CA 90241-4926 Ph: (562) 867-7999 |
Irene Gilgoff, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-803-0124 Fax: 562-803-5569 | |
Ferdinand Jamil Shamiyeh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11525 Brookshire Ave Ste 302, Downey, CA 90241 Phone: 562-904-2821 Fax: 562-904-2826 | |
Dr. Kim Chi Thanh Bui, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 562-657-7550 | |
Nicole Cervantes, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 8530 Firestone Blvd, Downey, CA 90241 Phone: 562-867-7999 | |
William Boelter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-803-0124 Fax: 562-803-0124 | |
Daniel Chong Lee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 562-657-7550 |