Susan Wang, MD | |
1955 Sunny Crest Dr Ste 110, Fullerton, CA 92835-3653 | |
(408) 234-9679 | |
Not Available |
Full Name | Susan Wang |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 1955 Sunny Crest Dr Ste 110, Fullerton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396977211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 65892 (Connecticut) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | A115390 (California) | Primary |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | Golden West Radiology Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225105729 PECOS PAC ID: 7113992074 Enrollment ID: O20040901001560 |
Entity Name | Ideal Mri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932692548 PECOS PAC ID: 6800146150 Enrollment ID: O20190922000003 |
Entity Name | Fulton Diagnostic Radiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417100249 PECOS PAC ID: 5991853806 Enrollment ID: O20200722002219 |
Entity Name | Radiology Associates Of Hartford Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942234893 PECOS PAC ID: 6002703246 Enrollment ID: O20200729002298 |
Mailing Address | Practice Location Address |
---|---|
Susan Wang, MD 5830 E 2nd St Ste 99990, Casper, WY 82609-4308 Ph: (408) 234-9679 | Susan Wang, MD 1955 Sunny Crest Dr Ste 110, Fullerton, CA 92835-3653 Ph: (408) 234-9679 |
Maren Radcliffe Ross Sowerby, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978 | |
Hao Quy Ngo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978 | |
Phillip Unger, MD Radiology Medicare: Medicare Enrolled Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-992-3978 | |
Alan M Cohen, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 515 E Commonwealth Ave, Fullerton, CA 92832 Phone: 714-871-7118 Fax: 714-871-3372 | |
Edgar Carmen Stambuk, MD Radiology Medicare: Medicare Enrolled Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978 | |
Samuel Lowry Maxwell Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978 | |
Brandon Murti, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1955 Sunny Crest Dr Ste 110, Fullerton, CA 92835 Phone: 714-578-8882 |