| Fady Rezk, | |
|
13422 Newport Ave Ste L, Tustin, CA 92780-3746 | |
| (714) 544-1521 | |
| Not Available |
| Full Name | Fady Rezk |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 13422 Newport Ave Ste L, Tustin, 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 |
|---|---|---|---|
| 1497574230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rita R Ellithorpe Md Inc | 8729353065 | 6 |
| Sun Medical Group Inc | 8426388810 | 19 |
| Entity Name | Rita R Ellithorpe MD Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619403854 PECOS PAC ID: 8729353065 Enrollment ID: O20171012000577 |
| Entity Name | Sun Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114588704 PECOS PAC ID: 8426388810 Enrollment ID: O20190927001371 |
| Mailing Address | Practice Location Address |
|---|---|
| Fady Rezk, Po Box 740, Lakewood, CA 90714-0740 Ph: Not Available | Fady Rezk, 13422 Newport Ave Ste L, Tustin, CA 92780-3746 Ph: (714) 544-1521 |
Crystal Martin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |
Mr. Carlos Guerrero, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |
Henry C. Luu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17612 17th St Ste 101, Tustin, CA 92780 Phone: 714-243-5450 |
Mindy Thanh Phan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |
Amanda Allen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18302 Irvine Blvd Ste 200, Tustin, CA 92780 Phone: 949-825-7650 |
Laurie Jeanne Mazzei, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 Fax: 714-259-1598 |
Rebecca Marquez, Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |