Brian Ichwan (NPI# 1457748287, PAC ID# 5597032680) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1457748287 |
| PAC ID by PECOS | 5597032680 |
| Professional Enrollment ID | I20170519002006 |
| Full Name | Brian Ichwan |
| Organization Legal Name | MICHAEL S. AGRON, M.D., INC. |
| Address |
300 W Huntington Dr Methodist Hospital Arcadia CA 91007-3473 |
| Phone Number | 6294454441 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2668360736 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050238 | METHODIST HOSPITAL OF SOUTHERN CA |
| 050104 | SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 | 6294454441 | MICHAEL S. AGRON, M.D., INC. |
| 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 3109008900 | CEP AMERICA - CALIFORNIA |
| 1441 Florida Ave, Modesto, CA 95350-4404 | 2095781211 | CEP AMERICA - CALIFORNIA |
| Organization Legal Name | MICHAEL S. AGRON, M.D., INC. |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Solomin | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| Jacob J Fakoory | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| Pingching N Kwan | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| John T Chon | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| Scott Narimatsu | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| Raymond G Gantioque | Nurse Practitioner | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| David J Gutkin | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| John F Murray | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| Philip W Lin | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| Peter F Keenan Iii | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| Street Address |
300 W HUNTINGTON DR METHODIST HOSPITAL |
| City | ARCADIA |
| State | CA |
| Zip | 91007-3473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Solomin | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| Jacob J Fakoory | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| Pingching N Kwan | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| John T Chon | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| Scott Narimatsu | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| Raymond G Gantioque | Nurse Practitioner | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| David J Gutkin | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| John F Murray | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| Philip W Lin | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| Peter F Keenan Iii | Emergency Medicine | Michael S. Agron, M.d., Inc. | 300 W Huntington Dr, Methodist Hospital, Arcadia, CA 91007-3473 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Narendranath Reddy | Internal Medicine | 301 W Huntington Dr, Suite 327, Arcadia, CA 91007-1501 | |
| Gregory Withers | Neurosurgery | 301 W Huntington Dr, Suite 407, Arcadia, CA 91007-1504 | |
| Tanya B Dorff | Medical Oncology | City of Hope Medical Foundation | 301 W Huntington Dr, Suite 419, Arcadia, CA 91007-1507 |
| Jeffrey W Kronson | Vascular Surgery | 301 W Huntington Dr, Suite 519, Arcadia, CA 91007-1512 | |
| Andrew F Phillips | Ophthalmology | Andrew F Phillips Md Inc | 301 W Huntington Dr, Suite 605, Arcadia, CA 91007-1514 |
| Thomas E Miles Jr. | Internal Medicine | 301 W Huntington Dr, Suite 608, Arcadia, CA 91007-1516 | |
| Jay K Iinuma | Family Medicine | 301 W Huntington Dr, Suite 608, Arcadia, CA 91007-1516 | |
| Carmen Ruiz | Colorectal Surgery (proctology) | Petar Vukasin M D Inc | 301 W Huntington Dr, Suite 618, Arcadia, CA 91007-1519 |
| Petar Vukasin | Colorectal Surgery (proctology) | Petar Vukasin M D Inc | 301 W Huntington Dr, Suite 618, Arcadia, CA 91007-1519 |
| Anamaria Mcelrath Garza | Colorectal Surgery (proctology) | Petar Vukasin M D Inc | 301 W Huntington Dr, Suite 618, Arcadia, CA 91007-1519 |
| Find all physicians in zip 91007 | |||
| City | ARCADIA |
| Zip Code | 91007 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ARCADIA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Brian Ichwan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.