| Ryan Ou, | |
|
905 Maple St Dept 470, Redwood City, CA 94063-2057 | |
| (510) 213-9830 | |
| Not Available |
| Full Name | Ryan Ou |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 905 Maple St Dept 470, Redwood City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457855074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A163824 (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 |
|---|---|
| Ryan Ou, 905 Maple St Dept 470, Redwood City, CA 94063-2057 Ph: (510) 213-9830 | Ryan Ou, 905 Maple St Dept 470, Redwood City, CA 94063-2057 Ph: (510) 213-9830 |
Michael S Oholleran, Surgery Medicare: Not Enrolled in Medicare Practice Location: 290 Redwood Shores Pkwy, Redwood City, CA 94065 Phone: 650-853-2135 | |
Owen Palmer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1733 Woodside Rd Ste 330, Redwood City, CA 94061 Phone: 650-241-8671 Fax: 650-942-0737 | |
Derrick D. Taylor, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Harald U. Jasiulek, MD Surgery Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
John H. Ngai, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Lynn K Chang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 |