| Katherine Fundora, | |
|
507 E Cypress Ave Frnt, Burbank, CA 91501-3237 | |
| (661) 210-8905 | |
| Not Available |
| Full Name | Katherine Fundora |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 507 E Cypress Ave Frnt, Burbank, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508425281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Valley Obstetrics & Gynecology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144304817 PECOS PAC ID: 7113911470 Enrollment ID: O20040412000387 |
| Entity Name | West Coast Ob/gyn, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447216106 PECOS PAC ID: 1850315235 Enrollment ID: O20060124001018 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Fundora, 507 E Cypress Ave Frnt, Burbank, CA 91501-3237 Ph: Not Available | Katherine Fundora, 507 E Cypress Ave Frnt, Burbank, CA 91501-3237 Ph: (661) 210-8905 |
Ernest Estrada Vii, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 501 S Buena Vista St, Em Dept., Burbank, CA 91505 Phone: 818-843-5111 Fax: 405-749-4561 |
Christian Joseph Garia, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 |
George T. Kalaw, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 Fax: 405-751-4664 |
David Siamanto Hacobian, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1843 Ayers Way, Burbank, CA 91501 Phone: 818-303-4915 |
Jenny Lin, Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 |
Rachel Barros, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2550 N Hollywood Way Ste 100, Burbank, CA 91505 Phone: 818-527-3730 |
Vilma Diaz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1311 N San Fernando Blvd, Burbank, CA 91504 Phone: 818-843-9900 Fax: 818-843-9901 |