Dr Sergio Banuelos Villegas, MD | |
1701 E Cesar Chavez Ave, Suite 402, Los Angeles, CA 90033-2464 | |
(323) 317-9200 | |
(323) 317-9206 |
Full Name | Dr Sergio Banuelos Villegas |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 1701 E Cesar Chavez Ave, 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 |
---|---|---|---|
1063463339 | NPI | - | NPPES |
00G653630 | Other | CA | BLUE SHIELD |
080052215 | Other | GA | MEDICARE RAILROAD |
00G653630 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G65363 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
White Memorial Medical Center | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fcs Medical Corporation | 6709834112 | 24 |
Entity Name | Fcs Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649223777 PECOS PAC ID: 6709834112 Enrollment ID: O20050111001140 |
Mailing Address | Practice Location Address |
---|---|
Dr Sergio Banuelos Villegas, MD 5823 York Blvd Ste 3, Los Angeles, CA 90042-2634 Ph: (323) 255-5643 | Dr Sergio Banuelos Villegas, MD 1701 E Cesar Chavez Ave, Suite 402, Los Angeles, CA 90033-2464 Ph: (323) 317-9200 |
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 |