| Stephanie Phung, | |
|
3918 Fallon Rd, Dublin, CA 94568-4276 | |
| (800) 972-5547 | |
| Not Available |
| Full Name | Stephanie Phung |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3918 Fallon Rd, Dublin, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760966410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA55916 (California) | Primary |
| Entity Name | Lifelong Medical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704 |
| Entity Name | Carbon Health Primary Care of California PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972057990 PECOS PAC ID: 8628350626 Enrollment ID: O20170127001216 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Phung, 325 Distel Cir, Los Altos, CA 94022-1408 Ph: Not Available | Stephanie Phung, 3918 Fallon Rd, Dublin, CA 94568-4276 Ph: (800) 972-5547 |
Homayun Saleh, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5325 Broder Blvd, Dublin, CA 94568 Phone: 925-551-6701 |
Mrs. Bianca Bzdel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4050 Dublin Bvld, Dublin, CA 94568 Phone: 925-875-6100 |
Alexander Brown, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 Dublin Blvd Ste 100, Dublin, CA 94568 Phone: 800-943-8099 |
Wesley Yeung, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 Dublin Blvd Ste 100, Dublin, CA 94568 Phone: 925-939-8585 Fax: 925-933-2709 |
Diana Mccafferty, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4000 Dublin Blvd Ste 100, Dublin, CA 94568 Phone: 800-934-8099 |
Heather Conklin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11501 Dublin Blvd Ste 200, Dublin, CA 94568 Phone: 844-540-5627 |
Tannaz Shooshtarian, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100 |