| Kristene Myklak, MD | |
|
101 The City Dr S, Orange, CA 92868-3201 | |
| (714) 456-2986 | |
| Not Available |
| Full Name | Kristene Myklak |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Location | 101 The City Dr S, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730471947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A122173 (California) | Primary |
| Entity Name | Prohealth Partners, A Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003949975 PECOS PAC ID: 2769388412 Enrollment ID: O20031211000927 |
| 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 | Uci Department Of Urology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255398533 PECOS PAC ID: 6901799238 Enrollment ID: O20040202001148 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristene Myklak, MD 200 S Manchester Ave Ofc, Orange, CA 92868-3217 Ph: (714) 456-2986 | Kristene Myklak, MD 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-2986 |
Thomas E Ahlering, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-6068 Fax: 888-378-4524 | |
Ryan S Hsi, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: Po Box 14091, Orange, CA 92863 Phone: 714-456-8888 | |
Dr. Jacob Basilius, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 | |
Dr. Akhil K Das, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 | |
Ahmed Abdelhalim Abdelaziz Ali, M.D. Urology Medicare: Medicare Enrolled Practice Location: 505 S Main St, Suite 100, Orange, CA 92868 Phone: 714-509-3914 | |
Dr. Hari Prashant Sawkar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1140 W La Veta Ave Ste 520, Orange, CA 92868 Phone: 714-543-2000 Fax: 714-543-8804 | |
Dr. Zhan Tao Wang, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St Ste 100, Orange, CA 92868 Phone: 714-509-3914 Fax: 714-509-3915 |