Mark T Munekata, MD | |
21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 | |
(310) 222-5101 | |
(310) 320-5463 |
Full Name | Mark T Munekata |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 21840 Normandie Ave, Torrance, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063446532 | NPI | - | NPPES |
00A546750 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A54675 (California) | Primary |
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Mailing Address | Practice Location Address |
---|---|
Mark T Munekata, MD 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 Ph: (310) 222-5101 | Mark T Munekata, MD 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 Ph: (310) 222-5101 |
Katayoun K Mostafaie, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 21840 Normandie Ave, Ste. 700, Torrance, CA 90502 Phone: 310-222-5101 Fax: 310-320-5463 | |
Ella Ishaaya, General Practice Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-913-3890 | |
Michael Sassounian, General Practice Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-2345 | |
Darrell W Harrington, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 21840 Normandie Ave, Ste. 700, Torrance, CA 90502 Phone: 310-222-5101 Fax: 310-320-5463 | |
Eric P Brass, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 21840 Normandie Ave, Torrance, CA 90502 Phone: 310-222-5101 Fax: 310-320-5463 | |
Clarence Darryl Lee Jr., General Practice Medicare: Medicare Enrolled Practice Location: 3500 Lomita Blvd Ste 300, Torrance, CA 90505 Phone: 310-257-0028 |