Naomi Lou Ellenhorn, MD | |
100 Stein Plz, 1-340, Los Angeles, CA 90095-0001 | |
(310) 825-5000 | |
Not Available |
Full Name | Naomi Lou Ellenhorn |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Location | 100 Stein Plz, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972519122 | NPI | - | NPPES |
00G516900 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | G51690 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Naomi Lou Ellenhorn, MD 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 Ph: (310) 825-5000 | Naomi Lou Ellenhorn, MD 100 Stein Plz, 1-340, Los Angeles, CA 90095-0001 Ph: (310) 825-5000 |
Victoria Li-ting Tseng, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 200 Stein Plaza #1-340, Los Angeles, CA 90095 Phone: 310-825-5000 | |
Peter Dentone, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 200 Stein Plaza #1-340, Los Angeles, CA 90095 Phone: 310-825-5000 | |
Michael Myung-sup Han, Ophthalmology Medicare: Medicare Enrolled Practice Location: 1450 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-6335 Fax: 714-456-8874 | |
Kristin Elizabeth Nesburn, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd Street, #390w, Los Angeles, CA 90048 Phone: 310-652-1133 Fax: 310-652-4353 | |
Dr. Stanley S. Kim, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3663 W 6th St, Suite #200, Los Angeles, CA 90020 Phone: 213-385-8500 Fax: 213-385-4896 | |
Homayoun Tabandeh, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1245 Wilshire Blvd, 380, Los Angeles, CA 90017 Phone: 213-483-8810 Fax: 213-481-1503 | |
Arnold Barron, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011 |