Jillianne Nanadiego, DO | |
10100 Culver Blvd Ste E, Culver City, CA 90232-3174 | |
(310) 423-3333 | |
Not Available |
Full Name | Jillianne Nanadiego |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 10100 Culver Blvd Ste E, Culver City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619598133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 125076015 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 20A22967 (California) | Primary |
Entity Name | Carle West Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Entity Name | Carle Bromenn Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104442615 PECOS PAC ID: 8921429499 Enrollment ID: O20200716000187 |
Mailing Address | Practice Location Address |
---|---|
Jillianne Nanadiego, DO 4140 W 190th St, Torrance, CA 90504-5513 Ph: () - | Jillianne Nanadiego, DO 10100 Culver Blvd Ste E, Culver City, CA 90232-3174 Ph: (310) 423-3333 |
Rabia Iqbal, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-836-7000 | |
Sara E. Stagg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-836-7000 | |
John G. Lalli, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-836-7000 | |
Karen Sue Johnson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-836-7000 | |
David B. Eisner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-836-7000 | |
Sean Sayani, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4451 Sepulveda Blvd, Culver City, CA 90230 Phone: 424-353-0003 | |
Robert Rosenbloom, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-202-4745 Fax: 310-202-4745 |