Dr Brian W Harris, MD | |
1225 Wilshire Boulevard, Los Angeles, CA 90017-2395 | |
(213) 977-2423 | |
(213) 202-7028 |
Full Name | Dr Brian W Harris |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1225 Wilshire Boulevard, 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 |
---|---|---|---|
1285687574 | NPI | - | NPPES |
050471CE98412 | Other | CA | GOOD SAM TRAILBLAZER |
00G707200 | Medicaid | CA | |
00G707200 | Other | CA | CALOPTIMA |
00G707200 | Other | CA | BLUE SHIELD |
050618CE98412 | Other | CA | BEAR VALLEY TRAILBLAZER |
G70720 | Other | CA | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G70720 (California) | Primary |
Entity Name | Emergency Department Physicians Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730104498 PECOS PAC ID: 2567366800 Enrollment ID: O20031222000734 |
Entity Name | Glenn Medical Center, Inc |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1336187178 PECOS PAC ID: 3870505035 Enrollment ID: O20070705000269 |
Entity Name | Can Emergency Physicians Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265810006 PECOS PAC ID: 8820304462 Enrollment ID: O20150827002595 |
Entity Name | Santa Ynez River Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396210597 PECOS PAC ID: 7911241229 Enrollment ID: O20181127001998 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian W Harris, MD 2550 North Hollywood Way, Suite 209, Burbank, CA 91505-5019 Ph: (818) 557-0135 | Dr Brian W Harris, MD 1225 Wilshire Boulevard, Los Angeles, CA 90017-2395 Ph: (213) 977-2423 |
Dr. Kenneth Taeyoung Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Glendon Ave Ste 1200, Los Angeles, CA 90024 Phone: 310-794-0785 | |
Dr. Tiffany Hackett, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-967-1884 Fax: 310-967-1744 | |
Brennen J. Beatty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Matthew S. Berry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Phillip Gruber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-6667 | |
Daniel Weingrow, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-2111 | |
Brian Truong, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 924 Westwood Blvd, Suite 300, Los Angeles, CA 90095 Phone: 310-794-0585 |