Dr Beata Anna Wicherski, MD | |
777 Flower St Ste A, Glendale, CA 91201-3000 | |
(818) 637-2000 | |
(818) 242-8761 |
Full Name | Dr Beata Anna Wicherski |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 777 Flower St Ste A, Glendale, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083662340 | NPI | - | NPPES |
00A539810 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A53981 (California) | Primary |
Entity Name | Lakeside Medical Organization A Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
Mailing Address | Practice Location Address |
---|---|
Dr Beata Anna Wicherski, MD 1500 W West Covina Pkwy, Ste 201, West Covina, CA 91790-2703 Ph: (626) 263-7020 | Dr Beata Anna Wicherski, MD 777 Flower St Ste A, Glendale, CA 91201-3000 Ph: (818) 637-2000 |
Gizel Awadallah Abraham, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1510 S Central Ave Ste 510, Glendale, CA 91204 Phone: 818-502-2181 Fax: 818-502-2191 | |
Yegi Kellie Yoon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 N Brand Blvd, Suite 900, Glendale, CA 91203 Phone: 818-265-6183 | |
Dr. Onsy Samy Basta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 W Broadway, 100, Glendale, CA 91204 Phone: 818-545-7770 | |
Khin Swe Lay, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1509 Wilson Terrace, Glendale Adventist Medical Center, Glendale, CA 91206 Phone: 818-409-8247 Fax: 818-546-5647 | |
Germaine V. Green, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 South Central Avenue #100, Glendale, CA 91204 Phone: 818-367-7980 Fax: 818-637-7985 | |
Happy N Khanna, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1818 Verdugo Blvd, Suite 300, Glendale, CA 91208 Phone: 818-790-6300 Fax: 818-790-6303 |