Dr Shahrouz Daniel Ganjian, MD | |
1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 | |
(310) 829-4403 | |
Not Available |
Full Name | Dr Shahrouz Daniel Ganjian |
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Gender | Male |
Speciality | Pediatrics |
Location | 1821 Wilshire Blvd Ste 100, 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 |
---|---|---|---|
1457582934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080B0002X | Pediatrics - Obesity Medicine | A113978 (California) | Secondary |
208000000X | Pediatrics | A113978 (California) | Primary |
Entity Name | Providence Saint Johns Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
Mailing Address | Practice Location Address |
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Dr Shahrouz Daniel Ganjian, MD 1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 Ph: (310) 829-4403 | Dr Shahrouz Daniel Ganjian, MD 1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 Ph: (310) 829-4403 |
Mina Rim Kang, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-453-1324 Fax: 424-212-5921 | |
Suparna Jain, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1450 10th St., Suite 304, Santa Monica, CA 90401 Phone: 310-458-1714 Fax: 310-394-8754 | |
Linda R Nussbaum, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Montana Ave, Suite C, Santa Monica, CA 90403 Phone: 310-393-9784 Fax: 310-393-0187 | |
Terrie Susie Ahn, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1245 16th St, Santa Monica, CA 90404 Phone: 310-481-4646 Fax: 310-899-7599 | |
Dr. Jamie Maria Wiggin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1260 15th St Ste 1024, Santa Monica, CA 90404 Phone: 424-259-8570 | |
Dr. Janet M Ma, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1245 16th St, Suite 125, Santa Monica, CA 90404 Phone: 310-315-8900 Fax: 310-315-8902 | |
Cara F. Natterson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1450 10th St, Suite 304, Santa Monica, CA 90401 Phone: 310-458-1714 Fax: 310-394-8754 |