| Patrick Robert Dahl, MD | |
|
301 W Bastanchury Road, Suite 245, Fullerton, CA 92835 | |
| (714) 525-3500 | |
| (714) 525-3588 |
| Full Name | Patrick Robert Dahl |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 35 Years |
| Location | 301 W Bastanchury Road, Fullerton, 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 |
|---|---|---|---|
| 1033213392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | G75823 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St. Jude Medical Center | Fullerton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Accredited Dermatology Medical Clinic Inc | 1850328048 | 2 |
| Csi Medical Group | 5890916845 | 104 |
| Entity Name | Accredited Dermatology Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871697136 PECOS PAC ID: 1850328048 Enrollment ID: O20050719001205 |
| Entity Name | Csi Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Robert Dahl, MD Po Box 5859, Fullerton, CA 92838 Ph: (714) 525-3500 | Patrick Robert Dahl, MD 301 W Bastanchury Road, Suite 245, Fullerton, CA 92835 Ph: (714) 525-3500 |
Dr. Helia Eragi, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 301 W Bastanchury Rd, Suite 210, Fullerton, CA 92835 Phone: 714-879-9936 |
Khaled Mahmoud Hassan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2720 N Harbor Blvd, Ste 220, Fullerton, CA 92835 Phone: 714-578-8527 Fax: 714-578-8570 |
Kristina A Holmkvist, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 301 W Bastanchury Road, Suite 245, Fullerton, CA 92835 Phone: 714-525-3500 Fax: 714-525-3588 |
Dr. Brian Somoano, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835 Phone: 714-626-8610 Fax: 714-626-8655 |
Dr. Robert Rosenberg, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2720 N Harbor Blvd, Suite 210, Fullerton, CA 92835 Phone: 714-626-6310 Fax: 714-626-6320 |
Stacy Eleanor Whitelock, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835 Phone: 714-626-8650 Fax: 714-626-8696 |
Amy Ngoc Nguyen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2720 N Harbor Blvd Ste 205, Fullerton, CA 92835 Phone: 714-882-5525 Fax: 714-882-5078 |