Dr Mehran Sourehnissani, MD | |
3451 W Century Blvd, B-1, Inglewood, CA 90303-1227 | |
(310) 677-9400 | |
(310) 677-9402 |
Full Name | Dr Mehran Sourehnissani |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 35 Years |
Location | 3451 W Century Blvd, Inglewood, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992745285 | NPI | - | NPPES |
00A681960 | Medicaid | CA | |
WA68196D | Other | CA | WA68196D MEDICARE INDIVIDUAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A68196 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Centinela Hospital Medical Center | Inglewood, CA | Hospital |
Good Samaritan Hospital | Los angeles, CA | Hospital |
California Hospital Medical Center La | Los angeles, CA | Hospital |
Hawthorne Healthcare & Wellness Centre, Lp | Hawthorne, CA | Nursing home |
Alvarado Care Center | Los angeles, CA | Nursing home |
Driftwood Healthcare Center | Torrance, CA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centinela Hospitalist Medical Group Inc | 3274696810 | 10 |
Century Medical Center ,a Professional Corporation | 8729056189 | 2 |
Wound Doctors | 9032585088 | 3 |
Entity Name | Century Medical Center ,a Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528270147 PECOS PAC ID: 8729056189 Enrollment ID: O20040922001257 |
Entity Name | Centinela Hospitalist Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144493461 PECOS PAC ID: 3274696810 Enrollment ID: O20090108000466 |
Entity Name | Avanti Health Providers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023622669 PECOS PAC ID: 3870904642 Enrollment ID: O20201130001828 |
Entity Name | Wound Doctors |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679293724 PECOS PAC ID: 9032585088 Enrollment ID: O20221017003225 |
Mailing Address | Practice Location Address |
---|---|
Dr Mehran Sourehnissani, MD 3451 W Century Blvd, B-1, Inglewood, CA 90303-1227 Ph: (310) 677-9400 | Dr Mehran Sourehnissani, MD 3451 W Century Blvd, B-1, Inglewood, CA 90303-1227 Ph: (310) 677-9400 |
Dr. David Farahmand Razi, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 3451 W Century Blvd, Inglewood, CA 90303 Phone: 310-677-9400 | |
Soheil P Hekmat, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 511 E Manchester Blvd, Inglewood, CA 90301 Phone: 310-672-9000 Fax: 310-672-9030 | |
Christopher Woehrstein, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 N Prairie Ave, Suite #334, Inglewood, CA 90301 Phone: 310-674-8600 | |
Titfany Wang, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 133 N Prairie Ave Ste C, Inglewood, CA 90301 Phone: 800-871-8890 | |
John Samy Farag, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 336 E Hillcrest Blvd, Suite 104, Inglewood, CA 90301 Phone: 310-419-9999 Fax: 310-419-9199 | |
Dr. John C. Weaver Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1035 S Prairie Ave Ste 1, Inglewood, CA 90301 Phone: 310-672-6500 Fax: 310-672-6781 | |
Jamshid Niknam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 S La Brea Ave Ste 205, Inglewood, CA 90301 Phone: 310-275-7575 Fax: 310-424-3404 |