| Mr Mark Jupiter Pahed, CRNA | |
|
18819 Delaware St, Huntington Beach, CA 92648-1907 | |
| (714) 500-0050 | |
| Not Available |
| Full Name | Mr Mark Jupiter Pahed |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 18819 Delaware St, Huntington Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285769307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2510 (California) | Primary |
| 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 |
| Entity Name | Orange Coast Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508138256 PECOS PAC ID: 2466613591 Enrollment ID: O20120417000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Jupiter Pahed, CRNA 320 Huntington Street, Huntington Beach, CA 92648 Ph: (714) 785-2762 | Mr Mark Jupiter Pahed, CRNA 18819 Delaware St, Huntington Beach, CA 92648-1907 Ph: (714) 500-0050 |
Mrs. Bernadette Leilani Simon Flowe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 503 16th St, Huntington Beach, CA 92648 Phone: 805-850-9547 Fax: 714-465-2035 | |
Bridget Tracy, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7561 Quiet Cove Cir, Huntington Beach, CA 92648 Phone: 714-292-9297 | |
Goli Khandan-alai, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18311 Thomas Cir, Huntington Beach, CA 92646 Phone: 714-721-2298 |