Premini Sivaruban, MD | |
11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | |
(818) 365-9531 | |
(818) 837-5741 |
Full Name | Premini Sivaruban |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 18 Years |
Location | 11333 Sepulveda Blvd, Mission Hills, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649694126 | NPI | - | NPPES |
00A1300180 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | A130018 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - Orange County - Anahe | Anaheim, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
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 |
---|---|
Premini Sivaruban, MD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5559 | Premini Sivaruban, MD 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 Ph: (818) 365-9531 |
Saber Jameel Patrus, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-837-5789 Fax: 818-898-9282 | |
Liza Garabet Diramerian, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 877-634-3196 Fax: 818-496-1074 | |
Dr. Lord Listowel Addo-yirenkyi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 877-634-3196 Fax: 818-993-1917 | |
Kellie S. Russell, D.O. Hospitalist Medicare: Medicare Enrolled Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 | |
Rafik Magdy Rezk Abdou, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 15031 Rinaldi St, Mission Hills, CA 91345 Phone: 818-496-4191 |