Karel-bart Celie, | |
2051 Marengo St, Los Angeles, CA 90033-1352 | |
(323) 442-7903 | |
Not Available |
Full Name | Karel-bart Celie |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 2051 Marengo St, 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 |
---|---|---|---|
1235698432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | A179171 (California) | Secondary |
208D00000X | General Practice | A179171 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Karel-bart Celie, 2051 Marengo St, Los Angeles, CA 90033-1352 Ph: (323) 442-7903 | Karel-bart Celie, 2051 Marengo St, Los Angeles, CA 90033-1352 Ph: (323) 442-7903 |
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Joong Y Park, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3511 W Olympic Bl, #101, Los Angeles, CA 90019 Phone: 323-766-1057 Fax: 323-766-8790 | |
Tit S Li, MD General Practice Medicare: Medicare Enrolled Practice Location: 819 W Cesar E Chavez Ave, Los Angeles, CA 90012 Phone: 213-613-1255 Fax: 213-613-1256 | |
Arthur Aratow, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2934 1/2 N. Beverly Glen Circle, #246, Los Angeles, CA 90077 Phone: 310-278-6883 Fax: 310-278-1094 | |
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