Vance Marshal Washington, MD | |
4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 | |
(310) 827-3700 | |
Not Available |
Full Name | Vance Marshal Washington |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 4560 Admiralty Way Ste 100, Marina Del Rey, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811376908 | NPI | - | NPPES |
1811376908 | Medicaid | NV | |
18832 | Other | NV | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18832 (Nevada) | Secondary |
207Q00000X | Family Medicine | 38022 (Alabama) | Secondary |
207Q00000X | Family Medicine | C187365 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa monica, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Regents Of The University Of California | 1355248584 | 1170 |
Entity Name | The Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439 |
Entity Name | Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538 |
Mailing Address | Practice Location Address |
---|---|
Vance Marshal Washington, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Vance Marshal Washington, MD 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 Ph: (310) 827-3700 |
Cathia Vazquez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-656-1770 Fax: 310-578-5379 | |
Dr. Brian Antony Boben, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13160 Mindanao Way Ste 301, Marina Del Rey, CA 90292 Phone: 310-301-0230 Fax: 310-301-0233 | |
Dr. Michael Gorniowsky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4644 Lincoln Blvd, Suite 428, Marina Del Rey, CA 90292 Phone: 310-306-1888 Fax: 310-577-8290 | |
Anthony Martin Ocana, MD, CCFP, FASAM Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13924 Marquesas Way Apt 1520, Marina Del Rey, CA 90292 Phone: 604-803-8513 | |
Edward King, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 | |
Ahmed Ashary, Family Medicine Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 | |
Dr. Layla Nina Farrahi, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379 |