Vannithamby Jegapragasan, MD | |
12660 Riverside Dr Ste 310320, North Hollywood, CA 91607-3429 | |
(818) 755-0391 | |
Not Available |
Full Name | Vannithamby Jegapragasan |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 12660 Riverside Dr Ste 310320, North Hollywood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811072978 | NPI | - | NPPES |
P00133525 | Other | CA | RAILROAD |
00A540470 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A54047 (California) | Primary |
Entity Name | Lakeside Medical Organization A Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
Mailing Address | Practice Location Address |
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Vannithamby Jegapragasan, MD 12660 Riverside Dr Ste 310320, North Hollywood, CA 91607-3429 Ph: (818) 755-0391 | Vannithamby Jegapragasan, MD 12660 Riverside Dr Ste 310320, North Hollywood, CA 91607-3429 Ph: (818) 755-0391 |
Mr. Rizalino G Vicente, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7544 Laurel Canyon Blvd, North Hollywood, CA 91605 Phone: 818-691-3260 Fax: 818-691-3293 | |
Arlet Sarkissian, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12660 Riverside Dr Ste 225, North Hollywood, CA 91607 Phone: 818-487-0040 | |
Dr. Wanjiku Ann Maxine Moite, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7843 Lankershim Blvd, North Hollywood, CA 91605 Phone: 818-765-8656 Fax: 818-765-6982 | |
Nesyah Shaesteh, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11631 Victory Blvd, North Hollywood, CA 91606 Phone: 818-764-8838 | |
Armine Manukyan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6350 Laurel Canyon Blvd Ste 205, North Hollywood, CA 91606 Phone: 818-653-3959 | |
Mr. Daniel M. Rose, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12134 Victory Blvd, North Hollywood, CA 91606 Phone: 818-762-8702 Fax: 818-761-2583 | |
Dr. Audra Elaine Ford, MD, MA Family Medicine Medicare: Medicare Enrolled Practice Location: 10902 Riverside Dr Unit B2, North Hollywood, CA 91602 Phone: 818-960-0925 |