Ernest Louis Prudente, MD | |
2121 Wilshire Blvd, #306, Santa Monica, CA 90403 | |
(310) 829-7762 | |
(310) 447-9972 |
Full Name | Ernest Louis Prudente |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 26 Years |
Location | 2121 Wilshire Blvd, Santa Monica, 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 |
---|---|---|---|
1033136510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A70659 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Saint John's Health Center | Santa monica, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Westside Internal Medicine | 1850353525 | 9 |
Entity Name | Westside Internal Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184631251 PECOS PAC ID: 1850353525 Enrollment ID: O20041103001290 |
Mailing Address | Practice Location Address |
---|---|
Ernest Louis Prudente, MD 2121 Wilshire Blvd, #304, Santa Monica, CA 90403 Ph: (310) 264-0065 | Ernest Louis Prudente, MD 2121 Wilshire Blvd, #306, Santa Monica, CA 90403 Ph: (310) 829-7762 |
Irawan Susanto, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1223 16th St, Suite 3400, Santa Monica, CA 90404 Phone: 310-449-0939 Fax: 424-259-7790 | |
Louis Ravitz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2336 Santa Monica Blvd, Suite 207, Santa Monica, CA 90404 Phone: 310-828-9311 Fax: 310-453-8533 | |
Janet Winikoff, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd Ste 860, Santa Monica, CA 90404 Phone: 310-828-3209 Fax: 310-828-5165 | |
Dr. Sean Dooley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 323-829-8745 | |
Lorraine Anderson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1245 16th St Ste 303, Santa Monica, CA 90404 Phone: 310-481-4646 Fax: 310-899-7599 | |
Dr. Colleen Lucy Channick, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1223 16th St Ste 3400, Santa Monica, CA 90404 Phone: 310-449-0939 | |
Carol Yukiko Nishikubo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404 Phone: 310-453-5654 Fax: 310-453-6885 |