Sofia Palacios, MD | |
815 Washington Blvd, Montebello, CA 90640-6123 | |
(323) 728-3955 | |
(323) 728-6905 |
Full Name | Sofia Palacios |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 815 Washington Blvd, Montebello, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336190982 | NPI | - | NPPES |
00G772500 | Other | CA | BLUE SHIELD |
080106811 | Other | GA | MEDICARE RAILROAD |
00G772500 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G77250 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Sofia Palacios, MD 5823 York Blvd, Suite 1, Los Angeles, CA 90042-2634 Ph: (323) 255-5643 | Sofia Palacios, MD 815 Washington Blvd, Montebello, CA 90640-6123 Ph: (323) 728-3955 |
Dr. Hector Flores, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815 Washington Blvd, Montebello, CA 90640 Phone: 323-728-3955 Fax: 323-728-6905 | |
Dr. Edwin Tan Yu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 W Beverly Blvd, Suite 202, Montebello, CA 90640 Phone: 323-888-2058 Fax: 323-722-9238 | |
Dr. Jorge Martinez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815 Washington Blvd, Montebello, CA 90640 Phone: 323-728-3955 Fax: 323-728-6905 | |
Sudha Govindarajan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Beverly Blvd, Ste 302, Montebello, CA 90640 Phone: 323-728-8181 Fax: 323-724-9725 | |
Dr. Leslie Ann Klein, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 W Beverly Bl, Suite 300, Montebello, CA 90640 Phone: 323-728-1201 Fax: 323-728-3735 | |
Kevin Jerard Jorgensen, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1217 W Whittier Blvd, Montebello, CA 90640 Phone: 323-728-6070 Fax: 323-728-2912 | |
Mrs. Kalyani P Randeria, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Beverly Blvd Ste 405, Montebello, CA 90640 Phone: 323-724-9767 Fax: 323-724-2722 |