Mercedeh Modir Shanechi, | |
12401 Washington Blvd, Whittier, CA 90602-1006 | |
(562) 698-0811 | |
Not Available |
Full Name | Mercedeh Modir Shanechi |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 9 Years |
Location | 12401 Washington Blvd, Whittier, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275914350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 125.066817 (Illinois) | Secondary |
207P00000X | Emergency Medicine | A160699 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pih Health Hospital-whittier | Whittier, CA | Hospital |
Pih Hospital - Downey | Downey, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Torrance Health Association Inc | 1355302134 | 255 |
Intercommunity Emergency Medical Group | 7911892534 | 38 |
Entity Name | Emergency Specialist Physicians Medical Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518917913 PECOS PAC ID: 2163329822 Enrollment ID: O20031218001027 |
Entity Name | Intercommunity Emergency Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871535286 PECOS PAC ID: 7911892534 Enrollment ID: O20040708000780 |
Entity Name | Torrance Health Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083903124 PECOS PAC ID: 1355302134 Enrollment ID: O20110819000276 |
Mailing Address | Practice Location Address |
---|---|
Mercedeh Modir Shanechi, 4210 Via Marina Apt 132, Marina Del Rey, CA 90292-5246 Ph: (224) 433-4755 | Mercedeh Modir Shanechi, 12401 Washington Blvd, Whittier, CA 90602-1006 Ph: (562) 698-0811 |
Roger S Woodard, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 Fax: 818-587-2493 | |
Dr. Adrian Daniel Crisan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9080 Colima Rd, Whittier, CA 90605 Phone: 562-907-1565 Fax: 562-907-1585 | |
Dr. Douglas Paul Slabaugh, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9080 Colima Rd, Whittier, CA 90605 Phone: 562-907-1565 Fax: 562-907-1585 | |
Courtney Jane Hentzen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 | |
Glen D Shook, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 Fax: 818-587-2493 | |
Sofia Gambuto, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 Fax: 562-945-5283 | |
Ian M Kramer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 Fax: 818-587-2493 |