Dr Adam Khader, MD, PHD | |
2200 Santa Monica Blvd, Santa Monica, CA 90404-2312 | |
(310) 449-5258 | |
(310) 315-4017 |
Full Name | Dr Adam Khader |
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Gender | Male |
Speciality | Surgery |
Location | 2200 Santa Monica Blvd, Santa Monica, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710202684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A154883 (California) | Primary |
Entity Name | Mcv Associated Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
Mailing Address | Practice Location Address |
---|---|
Dr Adam Khader, MD, PHD 2200 Santa Monica Blvd, Santa Monica, CA 90404-2312 Ph: (310) 449-5258 | Dr Adam Khader, MD, PHD 2200 Santa Monica Blvd, Santa Monica, CA 90404-2312 Ph: (310) 449-5258 |
Stephen Louis Kuchenbecker, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd, 460 W, Santa Monica, CA 90404 Phone: 310-829-9400 Fax: 310-829-6764 | |
Robert Eli Cole, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2121 Wilshire Blvd, #302, Santa Monica, CA 90403 Phone: 310-829-4469 Fax: 310-829-0891 | |
Dr. Janie Gia-lin Weng Grumley, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-582-7100 Fax: 310-829-8914 | |
Dr. Brian Eugene Kadera, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1304 15th St Ste 102, Santa Monica, CA 90404 Phone: 310-393-3583 Fax: 310-394-5215 | |
Hilary Rachel Keller, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-829-8781 Fax: 310-582-7185 | |
Edward Harry Livingston, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1304 15th St Ste 102, Santa Monica, CA 90404 Phone: 310-319-4080 Fax: 310-394-5215 | |
Ian Taylor Macqueen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1304 15th St Ste 105, Santa Monica, CA 90404 Phone: 310-319-4080 Fax: 310-394-5215 |