Dean Michael Anselmo, MD | |
4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | |
(323) 660-2450 | |
Not Available |
Full Name | Dean Michael Anselmo |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
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 |
---|---|---|---|
1083820716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A70021 (California) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | A70021 (California) | Primary |
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 |
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Dean Michael Anselmo, MD 6430 W Sunset Blvd Ste 600, Los Angeles, CA 90028-7909 Ph: (323) 669-2337 | Dean Michael Anselmo, MD 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 Ph: (323) 660-2450 |
Dr. Peyman Benharash, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10833 Leconte Ave Room 62-215, Los Angeles, CA 90095 Phone: 310-206-6717 Fax: 310-206-5901 | |
Mr. Willis H. Wagner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8631 W 3rd St, Suite 615e, Los Angeles, CA 90048 Phone: 310-652-8132 Fax: 310-659-3815 | |
Dr. Christian Jesus Ochoa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo Street, Suite 4300, Los Angeles, CA 90033 Phone: 323-442-5849 Fax: 323-442-5956 | |
Dr. Jane Kim Yang, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095 Phone: 310-206-6294 Fax: 310-794-9603 | |
Laura Bloom, MD, MS, MBA Surgery Medicare: Not Enrolled in Medicare Practice Location: 2051 Marengo Street, La General Medical Center, Inpatient Tower Room C5l100, Los Angeles, CA 90033 Phone: 510-589-3740 | |
Dr. Kaushal Ramesh Patel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 San Pablo St, Suite 514, Los Angeles, CA 90033 Phone: 323-442-5988 Fax: 323-442-5735 | |
Rosemary D Dearnley, RN Surgery Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-9554 |