Oliver Tate Brooks, MD | |
10300 Compton Ave, Los Angeles, CA 90002-3628 | |
(323) 564-4331 | |
(323) 563-1636 |
Full Name | Oliver Tate Brooks |
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Gender | Male |
Speciality | Pediatrics |
Location | 10300 Compton Ave, 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 |
---|---|---|---|
1013013150 | NPI | - | NPPES |
WG00613 | Other | CA | MEDI-CAL NO. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G49006 (California) | Primary |
Entity Name | Martin Luther King Jr Community Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311 |
Mailing Address | Practice Location Address |
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Oliver Tate Brooks, MD 10300 Compton Ave, Los Angeles, CA 90002-3628 Ph: (323) 564-4331 | Oliver Tate Brooks, MD 10300 Compton Ave, Los Angeles, CA 90002-3628 Ph: (323) 564-4331 |
Dr. Mark Hendrik Corden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-8893 Fax: 323-361-1814 | |
Ms. Roberta Miyeko Kato, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-2101 Fax: 323-361-1355 | |
Meera Dhirubhai Kanani, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1240 N Mission Rd, Los Angeles, CA 90033 Phone: 323-226-3691 | |
Dr. Marisa Danbee Oh, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2020 Zonal Ave, Lac-usc Med Ctr- Interns/residents Building, Room 112, Los Angeles, CA 90089 Phone: 626-241-0704 | |
Dr. Tiffany Prugpichailers Pedigo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, B711 Rrumc, Los Angeles, CA 90095 Phone: 310-267-9129 | |
Neema Izadi, MD, MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd # 75, Los Angeles, CA 90027 Phone: 323-361-2501 Fax: 323-361-1191 | |
Jennifer Stephanie Menjivar-lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3671 W 6th St Ste A, Los Angeles, CA 90020 Phone: 213-235-2500 |