| Khoalinh Thieu Luong, MD | |
| 751 S Bascom Ave, San Jose, CA 95128-2604 | |
| (408) 885-5554 | |
| Not Available | 
| Full Name | Khoalinh Thieu Luong | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology | 
| Location | 751 S Bascom Ave, San Jose, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710152509 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A109896 (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 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Khoalinh Thieu Luong, MD 10274 Woodbury Rd Apt B, Garden Grove, CA 92843-3113 Ph: (714) 837-0902 | Khoalinh Thieu Luong, MD 751 S Bascom Ave, San Jose, CA 95128-2604 Ph: (408) 885-5554 | 
| Alexandra Lynne Woodcock, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 650 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-5558 | |
| Vajiramala R. Dharmasena, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
| Kim Pham, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1804 Mclaughlin Ave, San Jose, CA 95122 Phone: 408-421-1822 | |
| Thomas T.h. Lin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
| Melody Besharati, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-5000 | |
| Shammah Okai, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 888-334-1000 | |
| Dr. Elizabeth Anne Buescher, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 455 O'connor Drive, Suite 370, San Jose, CA 95128 Phone: 408-831-5720 Fax: 408-831-5781 |