Benjamin Azaran, MD | |
11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | |
(818) 365-9531 | |
Not Available |
Full Name | Benjamin Azaran |
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Gender | Male |
Speciality | Pediatrics |
Location | 11333 Sepulveda Blvd, Mission Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326289711 | NPI | - | NPPES |
00A1102520 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 249694 (New York) | Secondary |
208000000X | Pediatrics | A110252 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Benjamin Azaran, MD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5559 | Benjamin Azaran, MD 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 Ph: (818) 365-9531 |
Dr. Henie Fialkoff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-869-7200 | |
Stephen J Elliott, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15031 Rinaldi St, Mission Hills, CA 91345 Phone: 805-215-5259 | |
Catherine S. Cho, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-869-7200 Fax: 818-898-1808 | |
Dr. Zonia A Leon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14901 Rinaldi St, #330, Mission Hills, CA 91345 Phone: 818-365-7778 Fax: 818-365-7808 | |
Maya Levy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 Fax: 818-837-5783 | |
Supriya Bavisetty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 Fax: 818-898-1682 | |
Gloria Hierro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11165 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-837-2753 Fax: 818-898-9282 |