| Monika A Koch, MD | |
|
975 Sereno Dr, Vallejo, CA 94589-2441 | |
| (707) 651-1000 | |
| Not Available |
| Full Name | Monika A Koch |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 975 Sereno Dr, Vallejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568534212 | NPI | - | NPPES |
| 00A664410 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | A66441 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Monika A Koch, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Monika A Koch, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000 |
Jose L. Recio, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Dr. Robert S Blum, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1416 Tennessee St, Ste 6, Vallejo, CA 94590 Phone: 707-552-6633 Fax: 707-552-0702 | |
Bindu Padmanabha, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1077 | |
Vivek B. Pai, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Christine Tjandra, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, H31 Neurology, Vallejo, CA 94589 Phone: 707-651-1090 | |
Dr. David Leonard Kutz, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1761 Broadway St Ste 100, Vallejo, CA 94589 Phone: 707-645-2700 | |
Jen-hsiung Wang, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 355 Tuolumne St, Vallejo, CA 94590 Phone: 707-553-5331 Fax: 707-553-5653 |