Pawena Virulhsri, MD | |
4502 E Avenue S, Palmdale, CA 93552-4480 | |
(661) 533-7500 | |
(661) 533-7829 |
Full Name | Pawena Virulhsri |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4502 E Avenue S, Palmdale, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003024977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME98245 (Florida) | Secondary |
208000000X | Pediatrics | A 109157 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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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 |
---|---|
Pawena Virulhsri, MD 393 E Walnut St, Phr, 3rd Fl, Pasadena, CA 91188-0001 Ph: (877) 608-0044 | Pawena Virulhsri, MD 4502 E Avenue S, Palmdale, CA 93552-4480 Ph: (661) 533-7500 |
Dr. Essam Hassan Elshewi, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2271 E Palmdale Blvd, # E1, Palmdale, CA 93550 Phone: 661-538-9922 Fax: 661-538-9199 | |
Dr. Nastasia Nianiaris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 627 W Avenue Q Ste D, Palmdale, CA 93551 Phone: 661-272-5656 Fax: 661-272-0909 | |
Dr. Dora Burchette Norris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 39115 Trade Center Dr Ste 130, Sierra Medical Group, Palmdale, CA 93551 Phone: 661-273-0100 Fax: 661-273-5812 | |
Paul Edward Round, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2151 E Palmdale Blvd, Palmdale, CA 93550 Phone: 661-942-2391 | |
Dr. Manouchehr Khandadash, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 38440 5th St W, Palmdale, CA 93551 Phone: 661-575-2725 | |
Michael Chukwuemeka Ndukwe, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 38600 Medical Center Dr, Palmdale, CA 93551 Phone: 661-382-5000 |