Mitchell S Komaiko, MD | |
8700 Beverly Blvd, West Hollywood, CA 90048-1804 | |
(310) 423-8000 | |
Not Available |
Full Name | Mitchell S Komaiko |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 8700 Beverly Blvd, West Hollywood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982730396 | NPI | - | NPPES |
00G168420 | Medicaid | CA | |
RHL112025 | Other | CA | DEPT OF HEALTH SERVICES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | G16842 (California) | Primary |
Entity Name | Cedars-sinai Imaging Medical Group A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922135359 PECOS PAC ID: 4981518313 Enrollment ID: O20031118001070 |
Mailing Address | Practice Location Address |
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Mitchell S Komaiko, MD Po Box 4313, Woodland Hills, CA 91365-4313 Ph: (805) 375-8800 | Mitchell S Komaiko, MD 8700 Beverly Blvd, West Hollywood, CA 90048-1804 Ph: (310) 423-8000 |
Dr. Michael Ellerin David, MD Radiology Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd # M-335, West Hollywood, CA 90048 Phone: 310-423-3095 | |
Dr. Julie Kau Jang, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-4208 | |
Ryan J Coleman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8581 Santa Monica Blvd # 67, West Hollywood, CA 90069 Phone: 310-994-3672 | |
Mehdi Faraji, Radiology Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd Ste M-335, West Hollywood, CA 90048 Phone: 832-365-1298 | |
Dr. Michelle Lynn Melany, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, Suite M335, West Hollywood, CA 90048 Phone: 310-423-5055 Fax: 310-423-0248 | |
Dr. Benjamin Liang King, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd Ste Ac1022, West Hollywood, CA 90048 Phone: 310-423-8077 | |
Alexander Grimm, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1144 N Orange Grove Ave Apt 7, West Hollywood, CA 90046 Phone: 323-687-0096 |