Dr Michael Lawrence Sporty, MD | |
1200 N State St Rm 1011, Los Angeles, CA 90033-1029 | |
(323) 226-6667 | |
Not Available |
Full Name | Dr Michael Lawrence Sporty |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1200 N State St Rm 1011, 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 |
---|---|---|---|
1922269950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0 (California) | Primary |
Entity Name | Intercommunity Emergency Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871535286 PECOS PAC ID: 7911892534 Enrollment ID: O20040708000780 |
Mailing Address | Practice Location Address |
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Dr Michael Lawrence Sporty, MD 1200 N State St Rm 1011, Los Angeles, CA 90033-1029 Ph: (323) 226-6667 | Dr Michael Lawrence Sporty, MD 1200 N State St Rm 1011, Los Angeles, CA 90033-1029 Ph: (323) 226-6667 |
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 | |
Emily Michele Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-9922 |