| Dr Donavon Tyler Wright, DPM | |
|
25821 Vermont Ave, Harbor City, CA 90710-3518 | |
| (424) 251-7315 | |
| Not Available |
| Full Name | Dr Donavon Tyler Wright |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 25821 Vermont Ave, Harbor City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235404617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E 5037 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donavon Tyler Wright, DPM 25821 Vermont Ave, Harbor City, CA 90710-3518 Ph: (424) 251-7315 | Dr Donavon Tyler Wright, DPM 25821 Vermont Ave, Harbor City, CA 90710-3518 Ph: (424) 251-7315 |
Dr. Dung V Bui, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Dept. Orthopedics/podiatry, Harbor City, CA 90710 Phone: 310-517-2870 Fax: 310-517-4207 | |
Frederick W Lange, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Leslie A Low, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Dr. Daniel Kyung Suh Hong, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-517-2940 | |
Robert Bragg, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Dr. Oendrila Kamal, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Department Of Podiatry, Harbor City, CA 90710 Phone: 310-517-2982 |