| Mr Nelson E Koe, MD | |
|
18321 Clark St, Tarzana, CA 91356-3501 | |
| (310) 471-5852 | |
| (310) 471-3958 |
| Full Name | Mr Nelson E Koe |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 34 Years |
| Location | 18321 Clark St, Tarzana, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174544472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | G75682 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Tarzana Medical Center | Tarzana, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Valley Medical Group | 3577465368 | 90 |
| Entity Name | Pacific Valley Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851312862 PECOS PAC ID: 3577465368 Enrollment ID: O20040122000762 |
| Entity Name | Tarzana Anesthesia Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508897463 PECOS PAC ID: 2668512914 Enrollment ID: O20091216000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nelson E Koe, MD 11999 San Vicente Blvd, #440, Los Angeles, CA 90049-5131 Ph: (310) 471-5852 | Mr Nelson E Koe, MD 18321 Clark St, Tarzana, CA 91356-3501 Ph: (310) 471-5852 |
Bakhtiar Moussazadeh, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 5620 Wilbur Ave Ste 305, Tarzana, CA 91356 Phone: 818-578-5326 Fax: 951-272-9924 | |
Dr. Komail Saifee, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4121 Aleman Dr, Tarzana, CA 91356 Phone: 818-342-3846 | |
Ms. Deborah A. Heaps, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5285 | |
David Ben Hoenig, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5525 Etiwanda Ave, Suite 217, Tarzana, CA 91356 Phone: 818-344-4100 Fax: 818-344-1043 | |
Maged S. Mikhail, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18344 Clark Street, Suite #202, Tarzana, CA 91356 Phone: 818-654-0520 Fax: 818-654-0520 | |
Andrew Thomas Pierre Wheeler, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 612-816-9817 |