Susana Herrera Ovalle, MD | |
1499 W 1st St, San Pedro, CA 90732-3255 | |
(310) 831-9482 | |
Not Available |
Full Name | Susana Herrera Ovalle |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 33 Years |
Location | 1499 W 1st St, San Pedro, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437375268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A97626 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthcare Partners Affiliates Medical Group | 7315842002 | 645 |
Entity Name | Healthcare Partners Affiliates Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
Mailing Address | Practice Location Address |
---|---|
Susana Herrera Ovalle, MD 337 W 230th St, Carson, CA 90745-4711 Ph: (310) 830-6105 | Susana Herrera Ovalle, MD 1499 W 1st St, San Pedro, CA 90732-3255 Ph: (310) 831-9482 |
Lawrence Bruce Greenberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1499 W 1st St, San Pedro, CA 90732 Phone: 310-831-9482 Fax: 310-831-1230 | |
Krupa Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 N Western Ave, San Pedro, CA 90732 Phone: 310-832-4225 Fax: 310-831-4860 | |
Dr. Issa M Botros, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1499 W 1st St, San Pedro, CA 90732 Phone: 310-241-2590 | |
Mr. Francisco J Correa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 W 6th St, Ste 3, San Pedro, CA 90732 Phone: 310-241-1000 Fax: 310-227-8225 | |
Dr. Anh Tam Nguyen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Bldg 30, 2400 S Pacific Ave, San Pedro, CA 90731 Phone: 310-653-8668 | |
Michael Schreiber, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 660 W 7th St, San Pedro, CA 90731 Phone: 818-488-4711 Fax: 818-337-7105 | |
Dr. David H Smith, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1360 W 6th St Ste D, San Pedro, CA 90732 Phone: 310-514-0404 Fax: 310-521-9311 |