| Stacey Pun, MD | |
|
1127 Wilshire Blvd Ste 600, Los Angeles, CA 90017-3907 | |
| (213) 278-0021 | |
| (213) 278-0973 |
| Full Name | Stacey Pun |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 8 Years |
| Location | 1127 Wilshire Blvd Ste 600, Los Angeles, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851763783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A160550 (California) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | A160550 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cedars-sinai Medical Center | Los angeles, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedars-sinai Medical Care Foundation | 0941106645 | 1451 |
| Ak Derm Corp | 3678806882 | 3 |
| 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 | Cedars-sinai Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
| 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 |
| Entity Name | Ak Derm Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013475805 PECOS PAC ID: 3678806882 Enrollment ID: O20190603002209 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Pun, MD 6399 San Ignacio Ave Ste 120, San Jose, CA 95119-1215 Ph: (310) 909-4728 | Stacey Pun, MD 1127 Wilshire Blvd Ste 600, Los Angeles, CA 90017-3907 Ph: (213) 278-0021 |
Evan Yung, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-2582 | |
Tiannan Wang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Rm 216, Los Angeles, CA 90033 Phone: 323-442-2582 | |
Joshua Mo, MD Pathology Medicare: May Accept Medicare Assignments Practice Location: 10833 Leconte Ave Room A3-190, Los Angeles, CA 90095 Phone: 314-803-3291 | |
Nancy Klipfel, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-2582 Fax: 323-442-2588 | |
Lee Harold Hilborne, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095 Phone: 310-794-8285 | |
Peter Tontonoz, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095 Phone: 310-794-8285 | |
Jeffrey Fred Krane, MD PHD Pathology Medicare: Medicare Enrolled Practice Location: 10833 Le Conte Ave # 13-145f, Los Angeles, CA 90095 Phone: 310-206-8199 Fax: 310-267-2058 |