Bahareh Ravandi, MD | |
4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | |
(323) 361-4100 | |
(323) 361-3642 |
Full Name | Bahareh Ravandi |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 4650 W Sunset Blvd, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629413422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 142959 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
Mailing Address | Practice Location Address |
---|---|
Bahareh Ravandi, MD 3701 Wilshire Boulevard, Suite #600, Los Angeles, CA 90010-2814 Ph: (323) 361-3550 | Bahareh Ravandi, MD 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 Ph: (323) 361-4100 |
Dr. Kenneth Taeyoung Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Glendon Ave Ste 1200, Los Angeles, CA 90024 Phone: 310-794-0785 | |
Dr. Tiffany Hackett, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-967-1884 Fax: 310-967-1744 | |
Brennen J. Beatty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Matthew S. Berry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Phillip Gruber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-6667 | |
Daniel Weingrow, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-2111 | |
Brian Truong, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 924 Westwood Blvd, Suite 300, Los Angeles, CA 90095 Phone: 310-794-0585 |