| Ametra Broome, | |
|
742 W Gardena Blvd, Gardena, CA 90247-5024 | |
| (310) 327-6044 | |
| Not Available |
| Full Name | Ametra Broome |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 742 W Gardena Blvd, Gardena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992931729 | NPI | - | NPPES |
| GR0083640 | Medicaid | CA | |
| ZZZ19972Z | Other | CA | MEDICARE GROUP |
| ZZZ19972Z | Other | CA | MEDICARE |
| ZZZ20075Z | Other | CA | MEDICARE GROUP |
| ZZZ20075Z | Other | CA | MEDICARE |
| GR0083641 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA20288 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ametra Broome, 742 W Gardena Blvd, Gardena, CA 90247-5024 Ph: (310) 327-6044 | Ametra Broome, 742 W Gardena Blvd, Gardena, CA 90247-5024 Ph: (310) 327-6044 |
Loc Vinh Truong, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 16630 S Broadway, Gardena, CA 90248 Phone: 310-768-8155 | |
Eunji Oh, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1251 W Redondo Beach Blvd Fl 3, Gardena, CA 90247 Phone: 562-698-0271 | |
Mr. Alfred Fuentes Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14127 S Vermont Ave, Gardena, CA 90247 Phone: 310-532-1650 Fax: 310-532-2036 | |
Cecilia Villarruel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15919 Arcturus Ave, Gardena, CA 90249 Phone: 310-686-9035 | |
Alvaro Prieto, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1149 W 190th St, Suite 2300, Gardena, CA 90248 Phone: 310-324-3068 | |
Heidi Rae Garcia, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1141 W Redondo Beach Blvd, Suite 104, Gardena, CA 90247 Phone: 310-538-9400 Fax: 310-538-0101 | |
Jocelyn Ramirez, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1030 W Gardena Blvd, Gardena, CA 90247 Phone: 866-981-3002 |