Dr Diego Mechoso, MD | |
15107 Vanowen St, Van Nuys, CA 91405-4542 | |
(818) 902-5771 | |
Not Available |
Full Name | Dr Diego Mechoso |
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Gender | Male |
Speciality | Pediatrics |
Location | 15107 Vanowen St, Van Nuys, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124054689 | NPI | - | NPPES |
00A844670 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | A84467 (California) | Secondary |
208000000X | Pediatrics | A84467 (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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Dr Diego Mechoso, MD Po Box 60400, Pasadena, CA 91116-6400 Ph: (310) 462-6215 | Dr Diego Mechoso, MD 15107 Vanowen St, Van Nuys, CA 91405-4542 Ph: (818) 902-5771 |
Kyu Hyun Kim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15243 Vanowen St, Suite 300, Van Nuys, CA 91405 Phone: 818-786-4910 Fax: 818-786-5512 | |
Peter Koetters, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15107 Vanowen St, Van Nuys, CA 91405 Phone: 818-902-5771 | |
Karen Eileen Mcveigh, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 15107 Vanowen St, Van Nuys, CA 91405 Phone: 818-902-5771 | |
Dr. Gladys Hope Dadivas Yerro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14555 Hamlin St Ste 108, Van Nuys, CA 91411 Phone: 818-781-2796 Fax: 818-781-2797 | |
Dr. Megha D. Shah, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15107 Vanowen St, Attn: Pediatric Department, Van Nuys, CA 91405 Phone: 818-902-2909 | |
Dr. Gary Posner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7138 Van Nuys Blvd, Van Nuys, CA 91405 Phone: 818-778-6240 Fax: 818-994-8005 |