| Susan Lahey, MD | |
|
200 W Arbor Dr, San Diego, CA 92103-9000 | |
| (858) 657-7876 | |
| (619) 543-3475 |
| Full Name | Susan Lahey |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Location | 200 W Arbor Dr, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366578031 | NPI | - | NPPES |
| C137247 | Other | CA | CA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 238632 (Massachusetts) | Secondary |
| 208800000X | Urology | C137247 (California) | Primary |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740382993 PECOS PAC ID: 3577476761 Enrollment ID: O20040430001354 |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Entity Name | United Urology Consultants, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295210029 PECOS PAC ID: 8820341399 Enrollment ID: O20181030002896 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Lahey, MD Po Box 232410, San Diego, CA 92193-2410 Ph: () - | Susan Lahey, MD 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (858) 657-7876 |
Dr. Paul Charles Campbell, D.O. Urology Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-7200 | |
Dr. Ithaar Derweesh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Dr. John J Martin, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4060 4th Ave, Suite 310, San Diego, CA 92103 Phone: 619-297-4707 Fax: 619-297-2448 | |
Mr. Youngkyu Peter Sheen, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5138 Sea Mist Court, San Diego, CA 92121 Phone: 858-642-0536 Fax: 858-642-0536 | |
Dr. Philip Hyunwoo Kim, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4405 Vandever Ave, Urologic Surgery, San Diego, CA 92120 Phone: 619-528-5000 | |
Anh Thuy Nguyen, MD Urology Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Dr. Habib Anwar Md, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5555 Reservoir Drive, Suite 206, San Diego, CA 92120 Phone: 619-265-0911 Fax: 619-265-0913 |