| Paul H Ackerman M D Inc | |
|
11980 San Vicente Blvd Suite 621 Los Angeles CA 90049-5012 | |
| (310) 826-4882 | |
| (310) 476-5819 |
| Full Name | Paul H Ackerman M D Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11980 San Vicente Blvd, Los Angeles, California |
| Authorized Official Name and Position | Paul H Ackerman (PRESIDENT) |
| Authorized Official Contact | 3108264882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul H Ackerman M D Inc 11980 San Vicente Blvd Suite 621 Los Angeles CA 90049-5012 Ph: (310) 826-4882 | Paul H Ackerman M D Inc 11980 San Vicente Blvd Suite 621 Los Angeles CA 90049-5012 Ph: (310) 826-4882 |
| NPI Number | 1184938623 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 08/10/2010 |
| Medicare PECOS PAC ID | 5193859718 |
|---|---|
| Medicare Enrollment ID | O20100818001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184938623 | NPI | - | NPPES |
| Provider Name | Paul H Ackerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235163320 PECOS PAC ID: 4789718214 Enrollment ID: I20100818001217 |
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