| Ucla Neurology Group Practice | |
|
300 Ucla Medical Plz Ste B200 Los Angeles CA 90095-8346 | |
| (310) 794-1195 | |
| Not Available |
| Full Name | Ucla Neurology Group Practice |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 300 Ucla Medical Plz Ste B200, Los Angeles, California |
| Authorized Official Name and Position | Katherine Hale (FINANCE DIRECTOR) |
| Authorized Official Contact | 3103015311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucla Neurology Group Practice 5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 Ph: () - | Ucla Neurology Group Practice 300 Ucla Medical Plz Ste B200 Los Angeles CA 90095-8346 Ph: (310) 794-1195 |
| NPI Number | 1437117074 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Medicare PECOS PAC ID | 1456255959 |
|---|---|
| Medicare Enrollment ID | O20031125000959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437117074 | NPI | - | NPPES |
| GR0056050 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Phioanh Nghiemphu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871519017 PECOS PAC ID: 0840185542 Enrollment ID: I20040220000599 |
| Provider Name | David Nelsen Alexander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154371334 PECOS PAC ID: 8527049121 Enrollment ID: I20040528000706 |
| Provider Name | Martina H Wiedau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528086824 PECOS PAC ID: 7618959040 Enrollment ID: I20040601001039 |
| Provider Name | Doojin Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487679858 PECOS PAC ID: 4789666728 Enrollment ID: I20040603000917 |
| Provider Name | Ravin Jain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649386558 PECOS PAC ID: 4082698576 Enrollment ID: I20040614000889 |
| Provider Name | David S Liebeskind |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629093091 PECOS PAC ID: 8628043346 Enrollment ID: I20040826001367 |
| Provider Name | Yvette M Bordelon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922023449 PECOS PAC ID: 9234195108 Enrollment ID: I20041202001074 |
| Provider Name | Timothy F Cloughesy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154356053 PECOS PAC ID: 8527017755 Enrollment ID: I20050114000394 |
| Provider Name | Carlos Portera Cailliau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659390094 PECOS PAC ID: 9739130857 Enrollment ID: I20050207000498 |
| Provider Name | Carl W Wherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841207560 PECOS PAC ID: 1951354562 Enrollment ID: I20050223000705 |
| Provider Name | Callene Arthen Momtazee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740206051 PECOS PAC ID: 4385688365 Enrollment ID: I20050611000038 |
| Provider Name | Ming Guo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083639801 PECOS PAC ID: 6709820996 Enrollment ID: I20050617000999 |
| Provider Name | Perry Shieh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588683395 PECOS PAC ID: 9133156755 Enrollment ID: I20050725001114 |
| Provider Name | Lara M Schrader |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962420240 PECOS PAC ID: 2860426756 Enrollment ID: I20050920001229 |
| Provider Name | Elyse J Singer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528085099 PECOS PAC ID: 4284652512 Enrollment ID: I20051104000767 |
| Provider Name | Charles C Flippen Ii |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063437879 PECOS PAC ID: 8325066335 Enrollment ID: I20051108000997 |
| Provider Name | Jason R Soss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679599435 PECOS PAC ID: 2668492364 Enrollment ID: I20051123000639 |
| Provider Name | Michael E Gold |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750306155 PECOS PAC ID: 2961425210 Enrollment ID: I20060112000496 |
| Provider Name | Edwin C Amos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992720379 PECOS PAC ID: 3173537040 Enrollment ID: I20060130000900 |
| Provider Name | Nanette Caballes Fong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154355758 PECOS PAC ID: 9638185051 Enrollment ID: I20060222000555 |
| Provider Name | Albert Lai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750306593 PECOS PAC ID: 1153339932 Enrollment ID: I20060405000423 |
| Provider Name | Maryam R Beigi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598838690 PECOS PAC ID: 5294744439 Enrollment ID: I20060417000161 |
| Provider Name | Alon Y Avidan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154437069 PECOS PAC ID: 0446269435 Enrollment ID: I20060419000791 |
| Provider Name | Latisha Katie Faina Sharma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972545085 PECOS PAC ID: 5193738185 Enrollment ID: I20060714000202 |
| Provider Name | Alan M Rapoport |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922042480 PECOS PAC ID: 2163435108 Enrollment ID: I20060717000303 |
| Provider Name | Michael J. Albertson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114035128 PECOS PAC ID: 2163470832 Enrollment ID: I20060929000298 |
| Provider Name | Steven C Cramer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477633568 PECOS PAC ID: 9638276264 Enrollment ID: I20070516000342 |
| Provider Name | David Shaner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467529461 PECOS PAC ID: 0547369217 Enrollment ID: I20070620000565 |
| Provider Name | Brent L Fogel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629289178 PECOS PAC ID: 1759481427 Enrollment ID: I20070710000799 |
| Provider Name | Keith Alan Vossel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114973765 PECOS PAC ID: 3678673027 Enrollment ID: I20070713000510 |
| Provider Name | Shamsha Velani Doran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508065947 PECOS PAC ID: 3678657251 Enrollment ID: I20080220000497 |
| Provider Name | Peter J Goadsby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164606943 PECOS PAC ID: 4486730462 Enrollment ID: I20080401000290 |
| Provider Name | Marc R Nuwer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578589727 PECOS PAC ID: 8820173065 Enrollment ID: I20080512000370 |
| Provider Name | Kathleen Tingus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952416190 PECOS PAC ID: 4385702042 Enrollment ID: I20081023000786 |
| Provider Name | Susan Perlman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114945474 PECOS PAC ID: 0345397873 Enrollment ID: I20090420000458 |
| Provider Name | Jeff M Bronstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114940731 PECOS PAC ID: 1052460573 Enrollment ID: I20090512000546 |
| Provider Name | Arthur P Kowell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700884905 PECOS PAC ID: 1153470208 Enrollment ID: I20090519000559 |
| Provider Name | Andrew C Charles |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518982453 PECOS PAC ID: 2567514201 Enrollment ID: I20090710000265 |
| Provider Name | Bruce H Dobkin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679598064 PECOS PAC ID: 8224180856 Enrollment ID: I20090713000529 |
| Provider Name | Dawn S Eliashiv |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144286162 PECOS PAC ID: 2062550635 Enrollment ID: I20091119000313 |
| Provider Name | Jerome Engel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730104266 PECOS PAC ID: 5799828620 Enrollment ID: I20100201000537 |
| Provider Name | Mark J Tramo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447232731 PECOS PAC ID: 5597704742 Enrollment ID: I20100204000383 |
| Provider Name | Jeffrey Lawrence Saver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356369730 PECOS PAC ID: 9739264979 Enrollment ID: I20100415000398 |
| Provider Name | Christopher Degiorgio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215950076 PECOS PAC ID: 3678545605 Enrollment ID: I20100416000596 |
| Provider Name | John C Mazziotta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033125695 PECOS PAC ID: 3173427671 Enrollment ID: I20100510000194 |
| Provider Name | Mario F Mendez |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1861415614 PECOS PAC ID: 8729117304 Enrollment ID: I20100519000650 |
| Provider Name | Melissa M Reider-demer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982790085 PECOS PAC ID: 7719016120 Enrollment ID: I20100524000502 |
| Provider Name | Radoslav I Raychev |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932346301 PECOS PAC ID: 5597899658 Enrollment ID: I20100811001132 |
| Provider Name | Paul M Vespa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992716435 PECOS PAC ID: 7214980838 Enrollment ID: I20101005000087 |
| Provider Name | Stanley Thomas Carmichael |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093730921 PECOS PAC ID: 2961694088 Enrollment ID: I20101007001041 |
| Provider Name | Indu Subramanian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730190273 PECOS PAC ID: 1355535618 Enrollment ID: I20101030000249 |
| Provider Name | Rhonda R Voskuhl |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770501066 PECOS PAC ID: 7911195474 Enrollment ID: I20101228000168 |
| Provider Name | John M Stern |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164440442 PECOS PAC ID: 9436338225 Enrollment ID: I20110126000190 |
| Provider Name | Daniel Geschwind |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730102310 PECOS PAC ID: 2163608423 Enrollment ID: I20110520000580 |
| Provider Name | Gail P Ishiyama |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639194038 PECOS PAC ID: 5991982985 Enrollment ID: I20110531000094 |
| Provider Name | Jason D Hinman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982864617 PECOS PAC ID: 3971780966 Enrollment ID: I20110531000115 |
| Provider Name | Mollie M Johnston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093981276 PECOS PAC ID: 6103004098 Enrollment ID: I20110623000463 |
| Provider Name | Roger P Woods |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366460586 PECOS PAC ID: 7416118609 Enrollment ID: I20120416000388 |
| Provider Name | Antonio V Escueta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518982495 PECOS PAC ID: 9133383854 Enrollment ID: I20120608000508 |
| Provider Name | Inna Keselman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003075037 PECOS PAC ID: 0547426934 Enrollment ID: I20120731000140 |
| Provider Name | Manuel M Buitrago Blanco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033386537 PECOS PAC ID: 6901053834 Enrollment ID: I20120829000358 |
| Provider Name | Eric Michaellee Williamson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861719742 PECOS PAC ID: 0941459127 Enrollment ID: I20121003000426 |
| Provider Name | Stefanie Woantzu Tang Uechi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114355096 PECOS PAC ID: 4486882339 Enrollment ID: I20140122001475 |
| Provider Name | May Nour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366679508 PECOS PAC ID: 8820227382 Enrollment ID: I20140203000147 |
| Provider Name | Michael Md Su |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790917086 PECOS PAC ID: 0042449456 Enrollment ID: I20140205001521 |
| Provider Name | Nancy A Sedat |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235164245 PECOS PAC ID: 6800705005 Enrollment ID: I20140804002480 |
| Provider Name | Sung H Yu |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588070650 PECOS PAC ID: 7810115813 Enrollment ID: I20140905000078 |
| Provider Name | Adrienne M Keener |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447577945 PECOS PAC ID: 9931328879 Enrollment ID: I20140908002569 |
| Provider Name | Susan B Vereb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043626377 PECOS PAC ID: 5496974008 Enrollment ID: I20140912002120 |
| Provider Name | Mary Catherine Mayo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922326735 PECOS PAC ID: 3274754726 Enrollment ID: I20141025000007 |
| Provider Name | Melanie Altamirano-cariaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588060198 PECOS PAC ID: 7618299124 Enrollment ID: I20141210002331 |
| Provider Name | Michael G Ho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013171834 PECOS PAC ID: 1557514627 Enrollment ID: I20150717002251 |
| Provider Name | Chelsea M Hesterman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164717385 PECOS PAC ID: 4183939713 Enrollment ID: I20150811006153 |
| Provider Name | Angel L Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750766150 PECOS PAC ID: 0244547537 Enrollment ID: I20150918001795 |
| Provider Name | Paula D Ravin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558346130 PECOS PAC ID: 7012959646 Enrollment ID: I20160222000000 |
| Provider Name | Simon Zimnowodzki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437182292 PECOS PAC ID: 4284525320 Enrollment ID: I20160502001966 |
| Provider Name | Jessica Erin Rexach |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184982027 PECOS PAC ID: 0840582722 Enrollment ID: I20160713002004 |
| Provider Name | Joshua Lawrence Kamins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689930034 PECOS PAC ID: 1951699669 Enrollment ID: I20161012002886 |
| Provider Name | Adam John Darby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376842898 PECOS PAC ID: 3375852643 Enrollment ID: I20170427001132 |
| Provider Name | Ronnie Bergen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750353488 PECOS PAC ID: 7214067230 Enrollment ID: I20170525002331 |
| Provider Name | Ahmet Arac |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740623289 PECOS PAC ID: 6204103039 Enrollment ID: I20170530000975 |
| Provider Name | Ranmal Aloka Samarasinghe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588906606 PECOS PAC ID: 0749557429 Enrollment ID: I20170531000847 |
| Provider Name | Anita Tipirneni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588923064 PECOS PAC ID: 2365719887 Enrollment ID: I20170602002334 |
| Provider Name | Eric Ming-tseh Cheng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629170477 PECOS PAC ID: 8022257625 Enrollment ID: I20170616002383 |
| Provider Name | Mersedeh Bahr Hosseini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194083105 PECOS PAC ID: 9537469705 Enrollment ID: I20170822000906 |
| Provider Name | Krishe Menezes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568639573 PECOS PAC ID: 5193840106 Enrollment ID: I20170912002648 |
| Provider Name | Kelsey Lynn Stander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578977039 PECOS PAC ID: 3476858184 Enrollment ID: I20171016001661 |
| Provider Name | Timothy Shenkang Chang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710383146 PECOS PAC ID: 9739444746 Enrollment ID: I20180522002008 |
| Provider Name | Courtney Renee Real |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427549146 PECOS PAC ID: 7012262561 Enrollment ID: I20180625000942 |
| Provider Name | Andrew Michael Wilson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649546128 PECOS PAC ID: 9032369996 Enrollment ID: I20180628002160 |
| Provider Name | Payam Soltanzadeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659506491 PECOS PAC ID: 5991937740 Enrollment ID: I20180802003984 |
| Provider Name | Kevin John Eng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861889925 PECOS PAC ID: 0042568024 Enrollment ID: I20180808000440 |
| Provider Name | Kevin R Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194013623 PECOS PAC ID: 1153617550 Enrollment ID: I20181003003639 |
| Provider Name | Melanie Keiko Schmitz Raz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114425261 PECOS PAC ID: 0749528917 Enrollment ID: I20190213001535 |
| Provider Name | Lauren Jessica Michelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922483056 PECOS PAC ID: 2163730888 Enrollment ID: I20190411002888 |
| Provider Name | Erika Lourdes Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174007330 PECOS PAC ID: 0941542252 Enrollment ID: I20190506002200 |
| Provider Name | Alejandra Sanchez Lopez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1679988695 PECOS PAC ID: 1557695533 Enrollment ID: I20190625001931 |
| Provider Name | Paul Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588075857 PECOS PAC ID: 0244565042 Enrollment ID: I20190716003748 |
| Provider Name | Shawn Michael Love |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447783626 PECOS PAC ID: 0042581746 Enrollment ID: I20191125000014 |
| Provider Name | Alexan Isahag Yerevanian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114301637 PECOS PAC ID: 1355772757 Enrollment ID: I20200520000433 |
| Provider Name | Adys Mendizabal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649632787 PECOS PAC ID: 7012348337 Enrollment ID: I20200520001912 |
| Provider Name | Kathryn Amy Cross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104208636 PECOS PAC ID: 1052626900 Enrollment ID: I20200522002192 |
| Provider Name | Robert Arthur Chong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407202567 PECOS PAC ID: 6204176092 Enrollment ID: I20200526002878 |
| Provider Name | Sinifunanya Elvee Nwaobi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811381882 PECOS PAC ID: 2769721208 Enrollment ID: I20200608001526 |
| Provider Name | Anasheh Halabi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689061731 PECOS PAC ID: 2365863883 Enrollment ID: I20200608002995 |
| Provider Name | Peony Pak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659735074 PECOS PAC ID: 1658616917 Enrollment ID: I20200610002767 |
| Provider Name | Rajarshi Mazumder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174936546 PECOS PAC ID: 1254656218 Enrollment ID: I20200624003253 |
| Provider Name | Bhavesh Vasant Trikamji |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295114197 PECOS PAC ID: 1658675962 Enrollment ID: I20200806003342 |
| Provider Name | William Abel Zeiger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154769933 PECOS PAC ID: 2668695511 Enrollment ID: I20200813002378 |
| Provider Name | Tracy Yun-shin Chang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730576687 PECOS PAC ID: 4688083983 Enrollment ID: I20210517000615 |
| Provider Name | Katherine Mun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487067765 PECOS PAC ID: 5597002972 Enrollment ID: I20210518001075 |
| Provider Name | Brian Na |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780078071 PECOS PAC ID: 0941553424 Enrollment ID: I20210526001678 |
| Provider Name | Joss Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235689332 PECOS PAC ID: 4587080072 Enrollment ID: I20210609001189 |
| Provider Name | Victoria Meiyi Ho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568823664 PECOS PAC ID: 0840534400 Enrollment ID: I20210621001830 |
| Provider Name | Leila Parand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174927594 PECOS PAC ID: 1658688049 Enrollment ID: I20210629001347 |
| Provider Name | John Kim Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497240220 PECOS PAC ID: 5597177097 Enrollment ID: I20210716000489 |
| Provider Name | Maral Bakir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184229668 PECOS PAC ID: 7113320839 Enrollment ID: I20210719002707 |
| Provider Name | Kevin Charles Bickart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801274139 PECOS PAC ID: 0547593170 Enrollment ID: I20210722003977 |
| Provider Name | Cara Leigh Siegel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336503572 PECOS PAC ID: 8224378807 Enrollment ID: I20210916000326 |
| Provider Name | Nathaly Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558987743 PECOS PAC ID: 3072900950 Enrollment ID: I20220422001606 |
| Provider Name | Amit Chaudhari |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033606082 PECOS PAC ID: 5496132722 Enrollment ID: I20220506001164 |
| Provider Name | Phoebe Hannah Johnson-black |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275021545 PECOS PAC ID: 1052747961 Enrollment ID: I20220511001038 |
| Provider Name | Phoebedel Castro Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700485265 PECOS PAC ID: 9638558760 Enrollment ID: I20220621002309 |
| Provider Name | Thao Thahn Nguyen Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922463835 PECOS PAC ID: 7618256074 Enrollment ID: I20220803000734 |
| Provider Name | Mark Louis Gaertner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477080992 PECOS PAC ID: 8123452273 Enrollment ID: I20221011001230 |
| Provider Name | Brittany M Young |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649775974 PECOS PAC ID: 7911331731 Enrollment ID: I20221013002647 |
| Provider Name | Fatima Traore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912401332 PECOS PAC ID: 8123363520 Enrollment ID: I20221014002481 |
| Provider Name | Jennifer Ann Adrissi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851782783 PECOS PAC ID: 9537459862 Enrollment ID: I20221020000957 |
| Provider Name | Yigit Karasozen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245745579 PECOS PAC ID: 5991065690 Enrollment ID: I20230524000836 |
| Provider Name | Mai Yamakawa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598261117 PECOS PAC ID: 2961750997 Enrollment ID: I20230524001715 |
| Provider Name | Karla Victoria Minota Pacheco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801453162 PECOS PAC ID: 7810383833 Enrollment ID: I20230526000378 |
| Provider Name | Molly Rachel Fensterwald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972041671 PECOS PAC ID: 6608269527 Enrollment ID: I20230530001181 |
| Provider Name | William Patrick Flavin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235698051 PECOS PAC ID: 6901298629 Enrollment ID: I20230602000808 |
| Provider Name | Katherine Alberta Fu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043743362 PECOS PAC ID: 9537403472 Enrollment ID: I20230627002996 |
| Provider Name | Sathiji Kathiresu Nageshwaran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356801401 PECOS PAC ID: 8921460460 Enrollment ID: I20230815001984 |
| Provider Name | Kyle Carson Kern |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780004325 PECOS PAC ID: 3870945629 Enrollment ID: I20240117004317 |
Emq Hollygrove Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N El Centro Ave, Los Angeles, CA 90038 Phone: 323-463-2119 Fax: 323-463-0619 | |
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 | |
Satish S. Kadaba, M.d., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E 3rd St, Suite 102, Los Angeles, CA 90022 Phone: 323-264-6296 Fax: 323-264-6297 | |
Foundations Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd Ste 420, Los Angeles, CA 90064 Phone: 888-800-5761 Fax: 818-530-7808 | |
Pch Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066 Phone: 310-566-7625 Fax: 310-566-7629 | |
Haleh Eghrari Psychology Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1314 Westwood Blvd, Suite 206, Los Angeles, CA 90024 Phone: 310-441-9550 Fax: 310-234-2682 | |
Douglas L. Gosney Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2566 Overland Ave, Suite 780, Los Angeles, CA 90064 Phone: 310-202-9382 |