Dr Jeremy Bradford Shelton, MD | |
10833 Le Conte Ave Rm 66-134, Los Angeles, CA 90095-1738 | |
(310) 206-8177 | |
Not Available |
Full Name | Dr Jeremy Bradford Shelton |
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Gender | Male |
Speciality | Urology |
Location | 10833 Le Conte Ave Rm 66-134, 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 |
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1316002686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | A105091 (California) | Primary |
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Entity Name | Skyline Urology |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730136573 PECOS PAC ID: 5496767253 Enrollment ID: O20060615000352 |
Mailing Address | Practice Location Address |
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Dr Jeremy Bradford Shelton, MD 10833 Le Conte Ave Rm 66-134, Los Angeles, CA 90095-1738 Ph: (310) 206-8177 | Dr Jeremy Bradford Shelton, MD 10833 Le Conte Ave Rm 66-134, Los Angeles, CA 90095-1738 Ph: (310) 206-8177 |
Dr. Saum Bobak Ghodoussipour, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1516 San Pablo St Fl 5, Los Angeles, CA 90033 Phone: 323-865-3700 | |
Victor Nitti, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 Phone: 310-794-7700 Fax: 310-794-0211 | |
Dr. Carol Joan Bennett, M.D. Urology Medicare: Medicare Enrolled Practice Location: 11301 Wilshire Blvd # 10h2, Los Angeles, CA 90073 Phone: 310-478-3711 Fax: 310-268-4967 | |
Arie Belldegrun, MD Urology Medicare: Medicare Enrolled Practice Location: 200 Medical Plz, Suite 140, Los Angeles, CA 90095 Phone: 310-794-7700 Fax: 310-301-8751 | |
Dr. Stuart Holden, Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 Phone: 310-825-1172 Fax: 310-794-0987 | |
Jay J Stein, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 8635 W 3rd St, Suite 460w, Los Angeles, CA 90048 Phone: 310-652-8810 Fax: 310-652-0334 | |
Dr. Philip Werthman, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2080 Century Park E Ste 907, Los Angeles, CA 90067 Phone: 310-277-2873 Fax: 310-286-2139 |