Paul Konikoff, MD | |
16055 Ventura Blvd, Ste.# 120, Encino, CA 91436-2601 | |
(818) 789-9988 | |
(818) 715-1722 |
Full Name | Paul Konikoff |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 16055 Ventura Blvd, Encino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033185657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | C39915 (California) | Primary |
207LP2900X | Anesthesiology - Pain Medicine | C39915 (California) | Secondary |
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Mailing Address | Practice Location Address |
---|---|
Paul Konikoff, MD Po Box 7001, Tarzana, CA 91357-7001 Ph: (818) 888-7815 | Paul Konikoff, MD 16055 Ventura Blvd, Ste.# 120, Encino, CA 91436-2601 Ph: (818) 789-9988 |
Naguib Khan, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 16501 Ventura Blvd, Ste.#103, Encino, CA 91436 Phone: 818-501-1080 Fax: 818-715-1722 | |
Dr. Peggy Shen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Dr. Austin Brendlen Harris, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Dr. Brian Shih, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 17525 Ventura Blvd Ste 203, Encino, CA 91316 Phone: 818-986-0200 Fax: 818-986-4393 | |
Dr. Teresita F Matsunaga, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Joseph Thomas Nitti, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16237 Ventura Blvd, Encino, CA 91436 Phone: 310-440-3131 |