Stephen Mark Puentes, MD | |
5850 S Main St, Room 1127, Los Angeles, CA 90003-1215 | |
(323) 846-4219 | |
(323) 238-0210 |
Full Name | Stephen Mark Puentes |
---|---|
Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 5850 S Main St, 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 |
---|---|---|---|
1336295997 | NPI | - | NPPES |
FHC70769F | Medicaid | CA | |
952662606 | Other | CA | TAX ID EPDB GROUP |
FHC70468F | Medicaid | CA | |
G063475 | Other | CA | MEDICAL LICENSE |
FHC 11866 F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | G63475 (California) | Primary |
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Entity Name | El Proyecto Del Barrio Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770696023 PECOS PAC ID: 3476546227 Enrollment ID: O20040406001869 |
Mailing Address | Practice Location Address |
---|---|
Stephen Mark Puentes, MD 8902 Woodman Ave, Arleta, CA 91331-6401 Ph: (818) 830-7033 | Stephen Mark Puentes, MD 5850 S Main St, Room 1127, Los Angeles, CA 90003-1215 Ph: (323) 846-4219 |
Dr. Linda Fong, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-3290 | |
Dr. Robert Peter Gale, Infectious Disease Medicare: Medicare Enrolled Practice Location: 11693 San Vicente Blvd, Suite 335, Los Angeles, CA 90049 Phone: 310-442-9010 | |
Dr. Tarek Alasil, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 8616 La Tijera Blvd Ste 404, Los Angeles, CA 90045 Phone: 310-673-2020 Fax: 310-469-5290 | |
David Michael Tellalian, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd St Ste 465w, Los Angeles, CA 90048 Phone: 310-358-2300 Fax: 310-358-2308 | |
Dr. Jan B King, M.D., M.P.H. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 11833 Wilmington Ave Fl 2, Los Angeles, CA 90059 Phone: 323-568-8701 | |
Dr. Caroline Hwang, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033 Phone: 323-442-5100 | |
Dr. Jennifer A Fulcher, M.D., PH.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Chs 37-121, Los Angeles, CA 90095 Phone: 310-825-7225 |