Rosalind Geroge Pallivathucal, MD | |
8100 California Ave, South Gate, CA 90280-2469 | |
(323) 357-1000 | |
(323) 357-1001 |
Full Name | Rosalind Geroge Pallivathucal |
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Gender | Female |
Speciality | Family Medicine |
Location | 8100 California Ave, South Gate, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437311131 | NPI | - | NPPES |
00A439182 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A43918 (California) | Primary |
Entity Name | Rosalind G. Pallivathucal Md Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033244611 PECOS PAC ID: 5294889507 Enrollment ID: O20090821000098 |
Mailing Address | Practice Location Address |
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Rosalind Geroge Pallivathucal, MD 8100 California Ave, South Gate, CA 90280-2469 Ph: (323) 357-1000 | Rosalind Geroge Pallivathucal, MD 8100 California Ave, South Gate, CA 90280-2469 Ph: (323) 357-1000 |
Claudia A Moreno Nuno, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9319 San Antonio Ave, South Gate, CA 90280 Phone: 323-793-1128 | |
Peter E Wu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Long Beach Blvd, South Gate, CA 90280 Phone: 323-277-9010 Fax: 323-277-9012 | |
Alicia Kim Sanchez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3529 Firestone Blvd, South Gate, CA 90280 Phone: 323-566-1700 Fax: 323-566-3816 | |
Bibiana Rocio Sandoval, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 8627 Atlantic Ave, South Gate, CA 90280 Phone: 323-312-2605 | |
Isaac Kwangnyon Kim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4476 Tweedy Blvd, South Gate, CA 90280 Phone: 323-825-8300 Fax: 866-372-2719 | |
Dr. Mina Wagdy Abdelshahid, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8627 Atlantic Ave, South Gate, CA 90280 Phone: 323-312-2605 | |
Ana Maria Mejia Cardenas, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8627 Atlantic Ave, South Gate, CA 90280 Phone: 323-312-2605 |