Clarissa Andic, MD | |
25825 Vermont Ave, Harbor City, CA 90710-3518 | |
(310) 325-5111 | |
Not Available |
Full Name | Clarissa Andic |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 24 Years |
Location | 25825 Vermont Ave, Harbor City, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124229000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A82084 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
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 |
---|---|
Clarissa Andic, MD 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111 | Clarissa Andic, MD 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111 |
Donna L. Ehlers, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
David J. Hannauer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Fred M. Freedman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Rajesh Bhagat, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Eileen L. Bardolph, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Miguel A. Arias, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 |