Sofia Gambuto, MD | |
12401 Washington Blvd, Whittier, CA 90602-1006 | |
(562) 698-0811 | |
(562) 945-5283 |
Full Name | Sofia Gambuto |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 12401 Washington Blvd, Whittier, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225696206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A185837 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | 125.074445 (Illinois) | Secondary |
Entity Name | Intercommunity Emergency Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871535286 PECOS PAC ID: 7911892534 Enrollment ID: O20040708000780 |
Mailing Address | Practice Location Address |
---|---|
Sofia Gambuto, MD 750 N Alfred St Apt 3, Los Angeles, CA 90069-5341 Ph: (646) 584-2195 | Sofia Gambuto, MD 12401 Washington Blvd, Whittier, CA 90602-1006 Ph: (562) 698-0811 |
Roger S Woodard, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 Fax: 818-587-2493 | |
Dr. Adrian Daniel Crisan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9080 Colima Rd, Whittier, CA 90605 Phone: 562-907-1565 Fax: 562-907-1585 | |
Dr. Douglas Paul Slabaugh, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9080 Colima Rd, Whittier, CA 90605 Phone: 562-907-1565 Fax: 562-907-1585 | |
Courtney Jane Hentzen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 | |
Glen D Shook, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 Fax: 818-587-2493 | |
Ian M Kramer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 Fax: 818-587-2493 |