Ms Rosemarie Bustos Diaz, | |
1250 16th St, Santa Monica, CA 90404-1249 | |
(310) 794-7700 | |
Not Available |
Full Name | Ms Rosemarie Bustos Diaz |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1250 16th St, 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 |
---|---|---|---|
1215317441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A171845 (California) | Primary |
Entity Name | Regents Of The Univ Of Ca Emer Med |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104889138 PECOS PAC ID: 4284538521 Enrollment ID: O20031119001020 |
Entity Name | County Of Los Angeles |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Entity Name | Victory Emergency Physicians Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932402716 PECOS PAC ID: 9133301732 Enrollment ID: O20110302000980 |
Mailing Address | Practice Location Address |
---|---|
Ms Rosemarie Bustos Diaz, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Ms Rosemarie Bustos Diaz, 1250 16th St, Santa Monica, CA 90404-1249 Ph: (310) 794-7700 |
William Shyy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Edward S Cotner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1328 Twenty Second Street, Santa Monica, CA 90404 Phone: 310-582-7089 | |
Walid H. Ghurabi, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Emergency Department, Santa Monica, CA 90404 Phone: 310-319-4000 | |
Dr. Michael Jeffrey Weitz, MD. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1328 Twenty Second St, Santa Monica, CA 90404 Phone: 310-582-7089 | |
Dr. Robert Lee Hook Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Amy L Kijner, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-582-7089 |