| Angela Luu, PA | |
|
1335 Stanford Ave, Emeryville, CA 94608-2536 | |
| (510) 647-5101 | |
| (510) 647-5105 |
| Full Name | Angela Luu |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1335 Stanford Ave, Emeryville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003582354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Pain and Rehabilitative Consultants Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952466963 PECOS PAC ID: 0345138392 Enrollment ID: O20040310000346 |
| Entity Name | Advanced Pain Diagnostic & Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427322635 PECOS PAC ID: 2264695196 Enrollment ID: O20120511000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Luu, PA 1335 Stanford Ave, Emeryville, CA 94608-2536 Ph: (510) 647-5101 | Angela Luu, PA 1335 Stanford Ave, Emeryville, CA 94608-2536 Ph: (510) 647-5101 |
Osman Wagilla, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2100 Powell St, Suite 900, Emeryville, CA 94608 Phone: 510-350-2600 |
Brandon Squibb, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2100 Powell St Ste 400, Emeryville, CA 94608 Phone: 510-350-2600 |
Kamilah Raeshawn Crawford, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1333 Powell St Unit 103, Emeryville, CA 94608 Phone: 888-663-6331 Fax: 415-252-7176 |
Mr. Will Richard Blackmon Iii, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2100 Powell St, Suite 920, Emeryville, CA 94608 Phone: 925-939-5800 |
Joseph Robert Maloney, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2100 Powell St Ste 920, Emeryville, CA 94608 Phone: 510-350-2777 |
Mark Phillips, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1335 Stanford Ave, Emeryville, CA 94608 Phone: 510-647-5101 |
Jennifer Lynn Van Buskirk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1335 Stanford Ave, Emeryville, CA 94608 Phone: 510-647-5101 Fax: 510-647-5105 |