Ross Frederick, | |
757 Westwood Plz, Los Angeles, CA 90095-8358 | |
(310) 825-9111 | |
Not Available |
Full Name | Ross Frederick |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 7 Years |
Location | 757 Westwood Plz, 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 |
---|---|---|---|
1992232268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | R76387 (Arizona) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | A176005 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Austin Radiological Association | 4880686179 | 114 |
Entity Name | Singleton Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
Entity Name | Austin Radiological Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033196464 PECOS PAC ID: 4880686179 Enrollment ID: O20040330000453 |
Mailing Address | Practice Location Address |
---|---|
Ross Frederick, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Ross Frederick, 757 Westwood Plz, Los Angeles, CA 90095-8358 Ph: (310) 825-9111 |
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