Dr Lance Arnold Gentile, MD | |
2424 Wilshire Blvd, Santa Monica, CA 90403-5806 | |
(310) 828-4530 | |
Not Available |
Full Name | Dr Lance Arnold Gentile |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2424 Wilshire 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 |
---|---|---|---|
1891725438 | NPI | - | NPPES |
00G359050 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G35905 (California) | Primary |
Entity Name | Los Robles Emergency Physicians Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417983552 PECOS PAC ID: 4880582618 Enrollment ID: O20040916000469 |
Mailing Address | Practice Location Address |
---|---|
Dr Lance Arnold Gentile, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707 | Dr Lance Arnold Gentile, MD 2424 Wilshire Blvd, Santa Monica, CA 90403-5806 Ph: (310) 828-4530 |
William Shyy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Edward S Cotner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1328 Twenty Second Street, Santa Monica, CA 90404 Phone: 310-582-7089 | |
Walid H. Ghurabi, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Emergency Department, Santa Monica, CA 90404 Phone: 310-319-4000 | |
Dr. Michael Jeffrey Weitz, MD. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1328 Twenty Second St, Santa Monica, CA 90404 Phone: 310-582-7089 | |
Dr. Robert Lee Hook Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Ms. Rosemarie Bustos Diaz, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Amy L Kijner, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-582-7089 |