| Maryam Yazdanshenas, MD | |
|
30492 Gateway Pl Ste 110, Rancho Mission Viejo, CA 92694-1862 | |
| (657) 241-8601 | |
| (714) 665-4695 |
| Full Name | Maryam Yazdanshenas |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 30492 Gateway Pl Ste 110, Rancho Mission Viejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548555212 | NPI | - | NPPES |
| CB216458 | Other | CA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A127168 (California) | Primary |
| Entity Name | Memorialcare Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryam Yazdanshenas, MD 30492 Gateway Pl Ste 110, Rancho Mission Viejo, CA 92694-1862 Ph: (657) 241-8601 | Maryam Yazdanshenas, MD 30492 Gateway Pl Ste 110, Rancho Mission Viejo, CA 92694-1862 Ph: (657) 241-8601 |
Ekta Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30492 Gateway Pl Ste 110, Rancho Mission Viejo, CA 92694 Phone: 657-241-8601 Fax: 714-665-4695 | |
Anthony Jaeyun Cho, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30492 Gateway Pl Ste 110, Rancho Mission Viejo, CA 92694 Phone: 657-241-8601 Fax: 714-665-4695 | |
Candace Marie Basich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30492 Gateway Pl Ste 110, Rancho Mission Viejo, CA 92694 Phone: 657-241-8601 Fax: 714-665-4695 | |
Sonia Rutten, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30492 Gateway Pl., Suite 110, Rancho Mission Viejo, CA 92694 Phone: 949-542-7700 Fax: 949-361-8163 | |
Christopher John D'arrigo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30492 Gateway Place, Suite 110, Rancho Mission Viejo, CA 92694 Phone: 949-542-7700 Fax: 949-361-8163 | |
Dr. Ian Bare, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30492 Gateway Pl Ste 110, Rancho Mission Viejo, CA 92694 Phone: 657-241-8601 Fax: 714-665-4695 |