Samina Khani, MD | |
520 N Prospect Ave, Ste 103, Redondo Beach, CA 90277-3041 | |
(310) 376-8816 | |
(310) 374-2806 |
Full Name | Samina Khani |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 520 N Prospect Ave, Redondo Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174605133 | NPI | - | NPPES |
100511268 | Medicaid | NV | |
100500484 GROUP | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 12062 (Nevada) | Secondary |
207R00000X | Internal Medicine | C52731 (California) | Primary |
Entity Name | Providence Medical Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910 |
Mailing Address | Practice Location Address |
---|---|
Samina Khani, MD 520 N Prospect Ave, Ste 103, Redondo Beach, CA 90277-3041 Ph: (310) 376-8816 | Samina Khani, MD 520 N Prospect Ave, Ste 103, Redondo Beach, CA 90277-3041 Ph: (310) 376-8816 |
William Liu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 N Prospect Ave Ste 103, Redondo Beach, CA 90277 Phone: 310-376-8816 Fax: 310-374-2806 | |
Chester Walter Gottlieb, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 514 N Prospect Ave, 4th Floor, Redondo Beach, CA 90277 Phone: 310-750-3300 Fax: 310-750-3381 | |
Connie Teng, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 N Prospect Ave, Redondo Beach, CA 90277 Phone: 310-318-9992 | |
Beverly Chen, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 514 N Prospect Ave, Redondo Beach, CA 90277 Phone: 310-937-8555 | |
Dr. Camela Joan Ott, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2114 Artesia Blvd, Redondo Beach, CA 90278 Phone: 310-802-6177 Fax: 310-802-6178 | |
Dr. John Neal Johnson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 502 Torrance Blvd, Redondo Beach, CA 90277 Phone: 310-214-0811 |