| Xiangdong Bu, MD | |
|
438 W Las Tunas Dr, San Gabriel, CA 91776-1216 | |
| (626) 570-6597 | |
| Not Available |
| Full Name | Xiangdong Bu |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 43 Years |
| Location | 438 W Las Tunas Dr, San Gabriel, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336108919 | NPI | - | NPPES |
| 00A640840 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0500X | Pathology - Cytopathology | A64084 (California) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A64084 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jfk Medical Center | Atlantis, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Regional Laboratories Pathology Services, Llc | 9133244346 | 124 |
| Entity Name | Integrated Regional Laboratories Pathology Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942526298 PECOS PAC ID: 9133244346 Enrollment ID: O20100911000029 |
| Mailing Address | Practice Location Address |
|---|---|
| Xiangdong Bu, MD Po Box 10076, Van Nuys, CA 91410-0076 Ph: (805) 578-8300 | Xiangdong Bu, MD 438 W Las Tunas Dr, San Gabriel, CA 91776-1216 Ph: (626) 570-6597 |
Shirley Z. Tan, MD Pathology Medicare: Medicare Enrolled Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-570-6597 | |
Mona M Yong, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-570-6597 | |
Armine Baltayan, MD Pathology Medicare: Medicare Enrolled Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-914-3002 | |
Arthur H Williams, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-570-6597 | |
Sunita Vempati, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-570-6597 | |
Muh-yau Tang, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-570-6597 |