Justin Lane Davis, DO | |
8700 Beverly Blvd, West Hollywood, CA 90048-1804 | |
(310) 423-8780 | |
Not Available |
Full Name | Justin Lane Davis |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 8 Years |
Location | 8700 Beverly Blvd, West Hollywood, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669823662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 6152 (Oklahoma) | Primary |
207P00000X | Emergency Medicine | 20A18362 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Services Of Oklahoma Pc | 8123209012 | 41 |
Entity Name | Emergency Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050207000313 |
Entity Name | Emergency Services Of Oklahoma Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
Entity Name | Emergency Physicians Of Mid-america Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063825297 PECOS PAC ID: 2062638661 Enrollment ID: O20140716001692 |
Mailing Address | Practice Location Address |
---|---|
Justin Lane Davis, DO 4140 W 190th St Ste 306, Torrance, CA 90504-5513 Ph: (310) 423-8780 | Justin Lane Davis, DO 8700 Beverly Blvd, West Hollywood, CA 90048-1804 Ph: (310) 423-8780 |
Casey Distaso, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 | |
Maximilian Hawkins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 | |
Shant Pezeshkian, DO, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 | |
Dr. Wendy Denham, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-967-1884 Fax: 310-937-1744 | |
Dr. Kelly Painter, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 323-967-1884 Fax: 323-967-1744 | |
Dr. Stephen Gregory Kefalas, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8753 | |
Vanessa Beckett, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 |