Richard Jerome Kennedy, MD | |
200 Medical Plaza, Los Angeles, CA 90095 | |
(310) 825-6301 | |
Not Available |
Full Name | Richard Jerome Kennedy |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 200 Medical Plaza, Los Angeles, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457370959 | NPI | - | NPPES |
00G620920 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G62092 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa monica, CA | Hospital |
Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
Providence Saint John's Health Center | Santa monica, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Regents Of The University Of California | 1355248584 | 1170 |
Entity Name | The Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439 |
Mailing Address | Practice Location Address |
---|---|
Richard Jerome Kennedy, MD 5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5632 Ph: (310) 828-7172 | Richard Jerome Kennedy, MD 200 Medical Plaza, Los Angeles, CA 90095 Ph: (310) 825-6301 |
Srpouhi Gasparyan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4950 W Sunset Blvd Fl 4, Los Angeles, CA 90027 Phone: 626-318-8104 | |
Dr. Olympia Alexandra Kabobel, D.O. M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St Ste 1300, Los Angeles, CA 90033 Phone: 323-442-5900 | |
Joy Go Legaspi, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz Ste 8638, Los Angeles, CA 90095 Phone: 310-267-7834 | |
Dr. Afshin Akhavan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 E Washington Blvd, Los Angeles, CA 90015 Phone: 213-747-2626 Fax: 213-749-7500 | |
Bruno J. Lewin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011 | |
Gabriel Sanchez-aldana Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 S Grand Ave Ste 200, Los Angeles, CA 90015 Phone: 213-419-9600 Fax: 213-419-9900 | |
Dr. Santiago Dayoan Corpuz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4643 Beverly Blvd Ste 101, Los Angeles, CA 90004 Phone: 323-461-4183 Fax: 323-461-0864 |