| Perry Robert Secor, MD | |
|
3851 Katella Ave Ste 150, Los Alamitos, CA 90720-3353 | |
| (562) 314-1400 | |
| (562) 431-0564 |
| Full Name | Perry Robert Secor |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 3851 Katella Ave Ste 150, Los Alamitos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548237795 | NPI | - | NPPES |
| OOG480480 | Other | CA | BLUE SHIELD PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | G48048 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Orthowest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760007330 PECOS PAC ID: 3072932623 Enrollment ID: O20200930002560 |
| Mailing Address | Practice Location Address |
|---|---|
| Perry Robert Secor, MD 3851 Katella Ave Ste 150, Los Alamitos, CA 90720-3353 Ph: (562) 314-1400 | Perry Robert Secor, MD 3851 Katella Ave Ste 150, Los Alamitos, CA 90720-3353 Ph: (562) 314-1400 |
Grietje Van Dyk, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3851 Katella Ave Ste 150, Los Alamitos, CA 90720 Phone: 562-314-1400 Fax: 562-431-0564 | |
Mr. Arnie Perea Bergula, PAC Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3771 Katella Ave, Suite 209, Los Alamitos, CA 90720 Phone: 562-314-1400 Fax: 562-431-0564 | |
Joseph B Alban, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4290 Katella Ave, Los Alamitos, CA 90720 Phone: 562-493-4499 Fax: 562-493-6512 | |
Dr. Leah M Pike, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3742 Katella Ave, 303, Los Alamitos, CA 90720 Phone: 562-936-9200 Fax: 562-936-9201 | |
Raymond A. Klug, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3771 Katella Ave, #310, Los Alamitos, CA 90720 Phone: 562-430-3561 Fax: 562-431-8882 | |
Dr. Andrew Maxwell Hanflik, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3851 Katella Ave Ste 150, Los Alamitos, CA 90720 Phone: 562-314-1400 Fax: 562-431-0564 |