Openloop Healthcare Partners California Pc | |
818 W 7th St Los Angeles CA 90017-3407 | |
(831) 218-6882 | |
Not Available |
Full Name | Openloop Healthcare Partners California Pc |
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Speciality | General Practice |
Location | 818 W 7th St, Los Angeles, California |
Authorized Official Name and Position | Jamie Terrero (SER. DIRECTOR PROVIDER DATA MNGMT) |
Authorized Official Contact | 2016675568 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Openloop Healthcare Partners California Pc 317 6th Ave Ste 400 Des Moines IA 50309-4108 Ph: (515) 612-9839 | Openloop Healthcare Partners California Pc 818 W 7th St Los Angeles CA 90017-3407 Ph: (831) 218-6882 |
NPI Number | 1659042331 |
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Provider Enumeration Date | 09/23/2021 |
Last Update Date | 11/21/2023 |
Certification Date | 11/21/2023 |
Medicare PECOS PAC ID | 9234529850 |
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Medicare Enrollment ID | O20211214000311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659042331 | NPI | - | NPPES |
Provider Name | Joanne Tippin |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1760443964 PECOS PAC ID: 3072509298 Enrollment ID: I20040422001524 |
Provider Name | Scott Jensen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033106497 PECOS PAC ID: 5799702015 Enrollment ID: I20051026000830 |
Provider Name | Trevor Macdonough Agar |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326149279 PECOS PAC ID: 5395746945 Enrollment ID: I20070124000537 |
Provider Name | Trissy Chun |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1295924140 PECOS PAC ID: 2769521715 Enrollment ID: I20091203000646 |
Provider Name | Griselda Rosas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134370729 PECOS PAC ID: 4880871193 Enrollment ID: I20110613000709 |
Provider Name | Megan Lynnell Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528442977 PECOS PAC ID: 1456667005 Enrollment ID: I20150827003012 |
Provider Name | Dalia Al-mudallal |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1356502116 PECOS PAC ID: 2961709092 Enrollment ID: I20160404002332 |
Provider Name | Sue Chuting Zhang |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1730522152 PECOS PAC ID: 6305118803 Enrollment ID: I20170817003648 |
Provider Name | Lauren Sarah Dulay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972031235 PECOS PAC ID: 3274890553 Enrollment ID: I20171121001729 |
Provider Name | Jie Liu |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1780066472 PECOS PAC ID: 2264787878 Enrollment ID: I20180622002224 |
Provider Name | Wasim Mansour |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649627696 PECOS PAC ID: 0547593667 Enrollment ID: I20190605000441 |
Provider Name | Stuart Malcolm |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124472055 PECOS PAC ID: 5890025852 Enrollment ID: I20190918001904 |
Provider Name | Laura Purdy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20200403001862 |
Provider Name | Alice T Chuang |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1316333065 PECOS PAC ID: 4981959350 Enrollment ID: I20200625001671 |
Provider Name | Garry Macasaet Guce |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821318809 PECOS PAC ID: 4789867185 Enrollment ID: I20201202002555 |
Provider Name | Donnielle Lynn Green |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073620530 PECOS PAC ID: 6800810375 Enrollment ID: I20201208000637 |
Provider Name | Kate Cordisco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003246851 PECOS PAC ID: 0345467247 Enrollment ID: I20210309001617 |
Provider Name | Janine G Larry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164971131 PECOS PAC ID: 8325317621 Enrollment ID: I20211020001380 |
Provider Name | Ali Reza Abtahi |
---|---|
Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1518224401 PECOS PAC ID: 0840428231 Enrollment ID: I20211214000384 |
Provider Name | David Mansour |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689164949 PECOS PAC ID: 4981936200 Enrollment ID: I20220218000889 |
Provider Name | Aleisha Allen |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1194357590 PECOS PAC ID: 7618395393 Enrollment ID: I20220421001072 |
Provider Name | Jacob Hascalovici |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1780930750 PECOS PAC ID: 1456626233 Enrollment ID: I20220627002905 |
Provider Name | Genevieve Gabriele D'amato |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821657966 PECOS PAC ID: 3870829484 Enrollment ID: I20220713001016 |
Provider Name | Shadae L Mcmillan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285186452 PECOS PAC ID: 3678849007 Enrollment ID: I20220727004063 |
Provider Name | Amy Alicia Dougherty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154609071 PECOS PAC ID: 4183841588 Enrollment ID: I20220826001945 |
Provider Name | Nicole Baldwin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093282600 PECOS PAC ID: 8123281466 Enrollment ID: I20220831001778 |
Provider Name | Chet Tharpe |
---|---|
Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1053541581 PECOS PAC ID: 7416106216 Enrollment ID: I20220921001681 |
Provider Name | Kayla Mardaga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093245532 PECOS PAC ID: 8426321449 Enrollment ID: I20220926002341 |
Provider Name | Thomas Berk |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1871886259 PECOS PAC ID: 2567752215 Enrollment ID: I20220929002825 |
Provider Name | Casey Lee Hicks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225573249 PECOS PAC ID: 6204118029 Enrollment ID: I20221012003112 |
Provider Name | Hattie Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548887698 PECOS PAC ID: 4385028620 Enrollment ID: I20221017003224 |
Provider Name | Rhonda R. Honeycutt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164850798 PECOS PAC ID: 4082841952 Enrollment ID: I20221019001056 |
Provider Name | Hattie Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548887698 PECOS PAC ID: 4385028620 Enrollment ID: I20221019002827 |
Provider Name | Haley C Pace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174033765 PECOS PAC ID: 8224304951 Enrollment ID: I20221020003159 |
Provider Name | Alyssa Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477138261 PECOS PAC ID: 5991171159 Enrollment ID: I20221025002278 |
Provider Name | Michelle Lyn Saeteurn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306165006 PECOS PAC ID: 6800263054 Enrollment ID: I20221101002874 |
Provider Name | Amanda Gail Clement |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447467493 PECOS PAC ID: 6709175748 Enrollment ID: I20221104000716 |
Provider Name | Destini Moody |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1578135315 PECOS PAC ID: 3476921677 Enrollment ID: I20221118001989 |
Provider Name | Kara Dougherty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053330324 PECOS PAC ID: 3072503150 Enrollment ID: I20221209001502 |
Provider Name | Michelle Marie Sanborn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891933792 PECOS PAC ID: 9032101985 Enrollment ID: I20221219001487 |
Provider Name | Michael A Webster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144823162 PECOS PAC ID: 9931508959 Enrollment ID: I20230106001266 |
Provider Name | Vanessa Vergara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780127720 PECOS PAC ID: 1850674276 Enrollment ID: I20230120001950 |
Provider Name | Molly Ann Finley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639243058 PECOS PAC ID: 8628160827 Enrollment ID: I20230125001449 |
Provider Name | Idrees Mohiuddin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518372713 PECOS PAC ID: 3274752464 Enrollment ID: I20230203000657 |
Provider Name | Ashley R Pichon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518116334 PECOS PAC ID: 9739236902 Enrollment ID: I20230207002968 |
Provider Name | Andrew Blake Zimmerman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871883462 PECOS PAC ID: 4486876505 Enrollment ID: I20230209002482 |
Provider Name | Diane Perry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205222676 PECOS PAC ID: 1850612599 Enrollment ID: I20230222000524 |
Provider Name | Rachel Nejem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992045462 PECOS PAC ID: 2365768595 Enrollment ID: I20230224002242 |
Provider Name | Holly Cresswell Lunsford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891043105 PECOS PAC ID: 1456500909 Enrollment ID: I20230306001023 |
Provider Name | Leo Damasco |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1134326366 PECOS PAC ID: 2264738053 Enrollment ID: I20230405002699 |
Provider Name | Ravi J Patel |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1598108557 PECOS PAC ID: 2961703533 Enrollment ID: I20230413001400 |
Provider Name | Julie Ann Negron |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1457067621 PECOS PAC ID: 0244695450 Enrollment ID: I20230421002342 |
Provider Name | Waiki V Cora |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1356513865 PECOS PAC ID: 3476631417 Enrollment ID: I20230425002758 |
Provider Name | Ryan Snyder |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1720371537 PECOS PAC ID: 2163646829 Enrollment ID: I20230427002075 |
Provider Name | Kei Kikuhara |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1164719506 PECOS PAC ID: 9032330493 Enrollment ID: I20230504003066 |
Provider Name | Jaya Madhav |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770970048 PECOS PAC ID: 5193030138 Enrollment ID: I20230505002356 |
Provider Name | Karin Evans |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1881964476 PECOS PAC ID: 9133505084 Enrollment ID: I20230510002881 |
Provider Name | Zakiya Antoine |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477868719 PECOS PAC ID: 9931397452 Enrollment ID: I20230511000686 |
Provider Name | Bhavesh Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831534957 PECOS PAC ID: 8224351549 Enrollment ID: I20230512002442 |
Provider Name | Michelle Rodgers |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1255754602 PECOS PAC ID: 5799193942 Enrollment ID: I20230515000383 |
Provider Name | Callie Yvonne Miller |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1225562002 PECOS PAC ID: 1557623899 Enrollment ID: I20230515002762 |
Provider Name | Rosa Lourdes Becerra Soberon |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1679650592 PECOS PAC ID: 5799110581 Enrollment ID: I20230517002872 |
Provider Name | Mikelanne Phaneuf |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1306157821 PECOS PAC ID: 8527250745 Enrollment ID: I20230518002634 |
Provider Name | Manjushree Karkare |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1649437948 PECOS PAC ID: 4880023811 Enrollment ID: I20230519002147 |
Provider Name | Kim Meeuwsen |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1497483622 PECOS PAC ID: 3072999416 Enrollment ID: I20230522000462 |
Provider Name | Lena Bakovic |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1588951214 PECOS PAC ID: 0143685149 Enrollment ID: I20230523001874 |
Provider Name | Ann Mckenna |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1144972670 PECOS PAC ID: 3274908314 Enrollment ID: I20230524000759 |
Provider Name | Natalie Patric Carroll |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1831735380 PECOS PAC ID: 6608201470 Enrollment ID: I20230524001078 |
Provider Name | Aeron Clason |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1457821035 PECOS PAC ID: 6204179484 Enrollment ID: I20230524003315 |
Provider Name | Naheed Rizvi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992817662 PECOS PAC ID: 1052306065 Enrollment ID: I20230524003845 |
Provider Name | Ricia Taylor |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1134502198 PECOS PAC ID: 8123493111 Enrollment ID: I20230525002207 |
Provider Name | Rachel Coury |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1174123962 PECOS PAC ID: 4688069370 Enrollment ID: I20230526001206 |
Provider Name | Angela Konegni |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1912635368 PECOS PAC ID: 1759747348 Enrollment ID: I20230531001336 |
Provider Name | Stacy Laffin |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1861675175 PECOS PAC ID: 8224372065 Enrollment ID: I20230601002449 |
Provider Name | Andrea Soares |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1659090967 PECOS PAC ID: 6800252420 Enrollment ID: I20230601003003 |
Provider Name | Catalina Ruz Gatica |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1932785201 PECOS PAC ID: 2567837321 Enrollment ID: I20230602002535 |
Provider Name | Mariam Mohamed Basma |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1073575239 PECOS PAC ID: 2668463621 Enrollment ID: I20230606000912 |
Provider Name | Deborah Stegman |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1245604511 PECOS PAC ID: 7214394733 Enrollment ID: I20230606001899 |
Provider Name | Jennifer Najor |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1518589639 PECOS PAC ID: 7517324528 Enrollment ID: I20230608001589 |
Provider Name | Kimberly Collins |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1760805436 PECOS PAC ID: 6800027632 Enrollment ID: I20230609000585 |
Provider Name | Amanda Carlile |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154554434 PECOS PAC ID: 2062538598 Enrollment ID: I20230613000823 |
Provider Name | Lillian Nagi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063851442 PECOS PAC ID: 0648594929 Enrollment ID: I20230621000899 |
Provider Name | Trisha Antoine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033589858 PECOS PAC ID: 2264847821 Enrollment ID: I20230623000726 |
Provider Name | Deanna Jade Cason |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295126381 PECOS PAC ID: 9335466739 Enrollment ID: I20230627001748 |
Provider Name | Latoya L Ajileye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386154540 PECOS PAC ID: 4981062312 Enrollment ID: I20230627003076 |
Provider Name | Jordan Connelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245832328 PECOS PAC ID: 8527479054 Enrollment ID: I20230703001402 |
Provider Name | Lauren Easterwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922538651 PECOS PAC ID: 6305116336 Enrollment ID: I20230705002367 |
Provider Name | Cassie Gifford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881970622 PECOS PAC ID: 5597930636 Enrollment ID: I20230721002298 |
Provider Name | Andrea S Abbott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588003842 PECOS PAC ID: 9032168174 Enrollment ID: I20230724001124 |
Provider Name | Lori Fauquier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225232952 PECOS PAC ID: 5193048437 Enrollment ID: I20230725002696 |
Provider Name | Nekia Geneva Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821606658 PECOS PAC ID: 1254741689 Enrollment ID: I20230803002132 |
Provider Name | Tamara Bendahan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053767194 PECOS PAC ID: 0345586947 Enrollment ID: I20230807002831 |
Provider Name | Henry Burgess |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376516260 PECOS PAC ID: 2860398773 Enrollment ID: I20230807003311 |
Provider Name | April Rosetta Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841749389 PECOS PAC ID: 2062793367 Enrollment ID: I20230815000868 |
Provider Name | Chere Elizabeth Mccormick |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346341724 PECOS PAC ID: 0345285383 Enrollment ID: I20230816000581 |
Provider Name | Timothy Michael Scott |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1346555240 PECOS PAC ID: 1052549508 Enrollment ID: I20230816002533 |
Provider Name | Nika Nakia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467622712 PECOS PAC ID: 0345394367 Enrollment ID: I20230816003091 |
Provider Name | James John Teet |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740576925 PECOS PAC ID: 8729204730 Enrollment ID: I20230824003525 |
Provider Name | Mohsen Soofian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265880520 PECOS PAC ID: 4385976018 Enrollment ID: I20230829002177 |
Provider Name | Kathleen Appling Tidwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700490166 PECOS PAC ID: 6406261692 Enrollment ID: I20230831003144 |
Provider Name | Theresa Marie Vergara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144870056 PECOS PAC ID: 1052709086 Enrollment ID: I20230831004814 |
Provider Name | Christopher Lee Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871985564 PECOS PAC ID: 5698096360 Enrollment ID: I20230906002327 |
Provider Name | Dina Whiteaker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578841490 PECOS PAC ID: 5294953576 Enrollment ID: I20230906002915 |
Provider Name | Leslie Elizabeth Conner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962538405 PECOS PAC ID: 1355521485 Enrollment ID: I20230911002952 |
Provider Name | Meredith Brooke Bilsky |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1730683764 PECOS PAC ID: 3274896105 Enrollment ID: I20230911003220 |
Provider Name | Sandra Lynn Audley |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1073590063 PECOS PAC ID: 0446278402 Enrollment ID: I20230913002192 |
Provider Name | Kristine Groemping |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093467854 PECOS PAC ID: 8022478171 Enrollment ID: I20230921000664 |
Provider Name | Hallie Rae Schnell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710531389 PECOS PAC ID: 0547693806 Enrollment ID: I20230927003877 |
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Peter Lorber, M.d., A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Wilshire Blvd, Suite 814, Los Angeles, CA 90017 Phone: 213-481-0592 | |
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