Shohei Ikoma, MD | |
2011 Zonal Ave Ste 200, Los Angeles, CA 90089-1015 | |
(323) 442-2582 | |
Not Available |
Full Name | Shohei Ikoma |
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Gender | Male |
Speciality | Pathology - Clinical Pathology/laboratory Medicine |
Location | 2011 Zonal Ave Ste 200, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1184041501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | A153184 (California) | Primary |
Entity Name | Usc Care Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
Mailing Address | Practice Location Address |
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Shohei Ikoma, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-2582 | Shohei Ikoma, MD 2011 Zonal Ave Ste 200, Los Angeles, CA 90089-1015 Ph: (323) 442-2582 |
Evan Yung, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-2582 | |
Tiannan Wang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Rm 216, Los Angeles, CA 90033 Phone: 323-442-2582 | |
Nancy Klipfel, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-2582 Fax: 323-442-2588 | |
Lee Harold Hilborne, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095 Phone: 310-794-8285 | |
Peter Tontonoz, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095 Phone: 310-794-8285 | |
Jeffrey Fred Krane, MD PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave # 13-145f, Los Angeles, CA 90095 Phone: 310-206-8199 Fax: 310-267-2058 | |
Dr. Bahram Parsa, M.D., PH D. Pathology Medicare: Medicare Enrolled Practice Location: 100 Ucla Medical Plz, Suite 245, Los Angeles, CA 90024 Phone: 310-208-0099 Fax: 310-208-0963 |