| Schenley L. Co M.d Inc. | |
|
3655 Lomita Blvd Ste 301 Torrance CA 90505-3968 | |
| (310) 377-2202 | |
| (310) 377-2409 |
| Full Name | Schenley L. Co M.d Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3655 Lomita Blvd Ste 301, Torrance, California |
| Authorized Official Name and Position | Schenley Lim Co (PRESIDENT) |
| Authorized Official Contact | 3103772202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Schenley L. Co M.d Inc. 3655 Lomita Blvd Ste 301 Torrance CA 90505-3968 Ph: (310) 377-2202 | Schenley L. Co M.d Inc. 3655 Lomita Blvd Ste 301 Torrance CA 90505-3968 Ph: (310) 377-2202 |
| NPI Number | 1669662508 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 01/25/2023 |
| Certification Date | 01/25/2023 |
| Medicare PECOS PAC ID | 2365522414 |
|---|---|
| Medicare Enrollment ID | O20080102000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669662508 | NPI | - | NPPES |
| 00A372340 | Other | CA | BLUE SHIELD OF CA |
| 1619994613 | Other | CA | INDIVIDUAL NPI NUMBER |
| 130001519 | Other | CA | RAILROAD MEDICARE |
| 00A372341 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A372340 (California) | Primary |
| Provider Name | Schenley L Co |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619994613 PECOS PAC ID: 4183660103 Enrollment ID: I20050629001318 |
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