| Susanna Byrne, DO | |
|
34800 Bob Wilson Dr, San Diego, CA 92134-0004 | |
| (619) 532-6400 | |
| Not Available |
| Full Name | Susanna Byrne |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 34800 Bob Wilson 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 |
|---|---|---|---|
| 1003249749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 0102203946 (Virginia) | Secondary |
| 207L00000X | Anesthesiology | 20A19706 (California) | Primary |
| 207L00000X | Anesthesiology | 81991-21 (Wisconsin) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Susanna Byrne, DO 2620 Boundary St, San Diego, CA 92104-5202 Ph: (617) 699-2794 | Susanna Byrne, DO 34800 Bob Wilson Dr, San Diego, CA 92134-0004 Ph: (619) 532-6400 |
Shawn Raveenth Vedamani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Michael Conrad Weber, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Drive, San Diego, CA 92134 Phone: 619-532-6471 | |
Dr. Paige Tsuda, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Thomas J. Pietuch, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3626 Ruffin Rd, San Diego, CA 92123 Phone: 858-565-9666 Fax: 858-565-9441 | |
Dr. Ching-rong Cheng, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Ucsd Medical Center, 200 West Arbor Drive Mc 0801, San Diego, CA 92103 Phone: 619-543-5720 | |
Dr. Jeffrey Koji Sakihara, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3626 Ruffin Rd, San Diego, CA 92123 Phone: 858-565-9666 Fax: 858-565-9441 |