Shanassa Nicole Roen-padilla, | |
5353 Balboa Blvd Ste 104, Encino, CA 91316-2858 | |
(818) 789-7181 | |
Not Available |
Full Name | Shanassa Nicole Roen-padilla |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 5353 Balboa Blvd Ste 104, Encino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386063907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 290447 (New York) | Secondary |
208000000X | Pediatrics | A159227 (California) | Primary |
Entity Name | Maimonides Faculty Practice Plan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
Entity Name | Mmc Pediatrics Faculty Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285648154 PECOS PAC ID: 0143406918 Enrollment ID: O20110511000496 |
Mailing Address | Practice Location Address |
---|---|
Shanassa Nicole Roen-padilla, 5353 Balboa Blvd Ste 104, Encino, CA 91316-2858 Ph: (818) 789-7181 | Shanassa Nicole Roen-padilla, 5353 Balboa Blvd Ste 104, Encino, CA 91316-2858 Ph: (818) 789-7181 |
Laura Bruckner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5400 Balboa Blvd Ste 326, Encino, CA 91316 Phone: 818-789-8775 Fax: 818-789-6726 | |
Dr. Milton Leon Kolchins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5400 Balboa Blvd, Suite # 105, Encino, CA 91316 Phone: 818-789-0347 Fax: 818-789-3937 | |
Dr. Saied Dallalzadeh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16661 Ventura Blvd Ste 718, Encino, CA 91436 Phone: 818-986-0006 Fax: 818-986-2333 | |
Dr. Peter Rees Shulman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5353 Balboa Blvd, Suite 104, Encino, CA 91316 Phone: 818-789-7181 Fax: 818-986-8322 | |
Yousef Mehrabi, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 16030 Ventura Blvd Ste 140, Encino, CA 91436 Phone: 818-609-9997 Fax: 818-609-9987 | |
Dr. Joel G. Auerbach, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5353 Balboa Blvd, #200, Encino, CA 91316 Phone: 818-461-9690 Fax: 818-461-9482 | |
Helen A Lederer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5400 Balboa Blvd Ste 326, Encino, CA 91316 Phone: 818-789-0494 Fax: 818-789-6726 |