Mark Henary, MEDICAL DOCTOR | |
2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | |
(310) 453-1324 | |
Not Available |
Full Name | Mark Henary |
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Gender | Male |
Speciality | Hospitalist |
Location | 2121 Santa Monica Blvd, Santa Monica, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215490008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | A182610 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Senior Care Clinic A Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942354857 PECOS PAC ID: 6103872403 Enrollment ID: O20050330000367 |
Entity Name | Providence Saint Johns Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
Mailing Address | Practice Location Address |
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Mark Henary, MEDICAL DOCTOR 1700 Cesar Chavez Avenue, Suite #3900, Los Angeles, CA 90033-2414 Ph: (323) 307-0800 | Mark Henary, MEDICAL DOCTOR 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 Ph: (310) 453-1324 |
Christine Sun, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St # C2304, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-319-4908 | |
Alanna Chau, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th Street, 2304 Central Wing, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-219-4908 | |
Dr. Sarah Mun Yee Chan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St # C2304, Santa Monica, CA 90404 Phone: 310-319-4698 | |
Dr. Josh Faguet, M.D., PH.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-829-5511 | |
Dr. Eyong John Ly, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Suite A454, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-319-4908 | |
Dr. Rahul Vasavada, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Suite 2304 Central Wing, Santa Monica, CA 90404 Phone: 310-319-4698 | |
Shreeti Patel, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-319-4908 |