New Vision Medical Group Inc Professional Corp | |
8484 Wilshire Blvd Suite 200 Beverly Hills CA 90211-3227 | |
(310) 360-7690 | |
(310) 360-9613 |
Full Name | New Vision Medical Group Inc Professional Corp |
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Speciality | Psychiatry & Neurology |
Location | 8484 Wilshire Blvd, Beverly Hills, California |
Authorized Official Name and Position | Rodney Daniel Collins (PRESIDENT) |
Authorized Official Contact | 3103607690 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Vision Medical Group Inc Professional Corp 8484 Wilshire Blvd Suite 200 Beverly Hills CA 90211-3227 Ph: (310) 360-7690 | New Vision Medical Group Inc Professional Corp 8484 Wilshire Blvd Suite 200 Beverly Hills CA 90211-3227 Ph: (310) 360-7690 |
NPI Number | 1316218621 |
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Provider Enumeration Date | 01/18/2012 |
Last Update Date | 05/24/2016 |
Medicare PECOS PAC ID | 2062671936 |
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Medicare Enrollment ID | O20120313000215 |
Identifier | Type | State | Issuer |
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1316218621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
Provider Name | Rodney Collins |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1700879061 PECOS PAC ID: 1052219649 Enrollment ID: I20041020001255 |
Provider Name | Shebet U Floyd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942617493 PECOS PAC ID: 7113283631 Enrollment ID: I20171115002917 |
Provider Name | Roberto S Sozzi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326160128 PECOS PAC ID: 3476573841 Enrollment ID: I20171121001582 |
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