Dr David Hardy, MD | |
8700 Beverly Blvd, West Hollywood, CA 90048-1804 | |
(310) 967-1884 | |
(310) 967-1744 |
Full Name | Dr David Hardy |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 8700 Beverly Blvd, West Hollywood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336219765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | A75603 (California) | Secondary |
207P00000X | Emergency Medicine | A75603 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Dr David Hardy, MD Po Box 51258, Los Angeles, CA 90051-5558 Ph: (310) 967-1884 | Dr David Hardy, MD 8700 Beverly Blvd, West Hollywood, CA 90048-1804 Ph: (310) 967-1884 |
Casey Distaso, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 | |
Maximilian Hawkins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 | |
Shant Pezeshkian, DO, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 | |
Dr. Wendy Denham, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-967-1884 Fax: 310-937-1744 | |
Dr. Kelly Painter, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 323-967-1884 Fax: 323-967-1744 | |
Dr. Stephen Gregory Kefalas, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8753 | |
Vanessa Beckett, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 |