Mehran Movassaghi, MD | |
2001 Santa Monica Blvd Ste 460w, Santa Monica, CA 90404-2178 | |
(310) 582-7333 | |
(310) 315-6157 |
Full Name | Mehran Movassaghi |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 18 Years |
Location | 2001 Santa Monica Blvd Ste 460w, Santa Monica, 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 |
---|---|---|---|
1154518629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | A101122 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Saint John's Health Center | Santa monica, CA | Hospital |
Providence Holy Cross Medical Center | Mission hills, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Saint Johns Medical Foundation | 0840548624 | 273 |
Entity Name | Assuta Family Medical Group A Professional Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639400260 PECOS PAC ID: 2860529195 Enrollment ID: O20100419000547 |
Entity Name | New Century Institute For Urology & Andrology A.p.m.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639468093 PECOS PAC ID: 2860657079 Enrollment ID: O20120712000649 |
Entity Name | Providence Saint Johns Medical Foundation |
---|---|
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 |
---|---|
Mehran Movassaghi, MD 2080 Century Park E, Suite 1407, Los Angeles, CA 90067-2001 Ph: (310) 277-2929 | Mehran Movassaghi, MD 2001 Santa Monica Blvd Ste 460w, Santa Monica, CA 90404-2178 Ph: (310) 582-7333 |
Milton Krisiloff, MD Urology Medicare: Medicare Enrolled Practice Location: 2001 Santa Monica Blvd, Suite 1165 W, Santa Monica, CA 90404 Phone: 310-829-7766 Fax: 310-453-1031 | |
Catherine C Gu, MD Urology Medicare: Medicare Enrolled Practice Location: 1260 15th St Ste 1200, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Mary Olubukola Fakunle, Urology Medicare: Medicare Enrolled Practice Location: 1260 15th St Ste 1200, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Stanley Allen Brosman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2021 Santa Monica Blvd, #510, Santa Monica, CA 90404 Phone: 310-828-8531 Fax: 310-829-1350 | |
Jesse N Mills, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1260 15th St, Suite 1200, Santa Monica, CA 90404 Phone: 310-451-8751 | |
Dr. Karyn S Eilber, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2020 Santa Monica Blvd., Suite 570, Santa Monica, CA 90404 Phone: 310-453-2061 Fax: 310-453-2161 |