Kavitha Devi Ryali Mehra, MD | |
13652 Cantara St, Panorama City, CA 91402-5423 | |
(818) 375-2000 | |
Not Available |
Full Name | Kavitha Devi Ryali Mehra |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 13652 Cantara St, Panorama 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 |
---|---|---|---|
1225186026 | NPI | - | NPPES |
00A788730 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A78873 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Kavitha Devi Ryali Mehra, MD 393 E Walnut St, 3rd Floor Phr Systems, Pasadena, CA 91188-0001 Ph: (626) 405-3640 | Kavitha Devi Ryali Mehra, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 |
David Braun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Mohamed D. Gudal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Mario R. Hemsley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Alice Lim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Veena P. Damle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Karen M. Hirsch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Mary V. Ong-veloso, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 |