Far West Podiatry | |
13624 Hawthorne Blvd Ste 206, Hawthorne, CA 90250-5818 | |
(310) 675-0900 | |
(310) 675-0904 |
Full Name | Far West Podiatry |
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Type | Facility |
Speciality | Podiatrist - Foot Surgery |
Location | 13624 Hawthorne Blvd Ste 206, Hawthorne, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124175740 | NPI | - | NPPES |
GRE001780 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0131X | Podiatrist - Foot Surgery | E3328 (California) | Primary |
Provider Name | Derick A Ball |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1346299716 PECOS PAC ID: 4284525031 Enrollment ID: I20040323001677 |
Provider Name | Karen L Wrubel |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1982654307 PECOS PAC ID: 7113818964 Enrollment ID: I20040323001718 |
Provider Name | Erica K Benson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1366839466 PECOS PAC ID: 3274881917 Enrollment ID: I20180813000822 |
Provider Name | Albert Elhiani |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1699298539 PECOS PAC ID: 3173953122 Enrollment ID: I20200415002793 |
Mailing Address | Practice Location Address |
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Far West Podiatry 13624 Hawthorne Blvd, Suite 206, Hawthorne, CA 90250-5818 Ph: (310) 675-0900 | Far West Podiatry 13624 Hawthorne Blvd Ste 206, Hawthorne, CA 90250-5818 Ph: (310) 675-0900 |
Dr. Derick Alan Ball, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13624 Hawthorne Blvd, Suite 206, Hawthorne, CA 90250 Phone: 310-675-0900 Fax: 310-675-0904 | |
Dr. Eugene Marvin Krank Jr., D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4358 W 136th St, #d, Hawthorne, CA 90250 Phone: 310-219-3339 | |
Dr. Robert Paoletti, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4477 W. 118th St., Ste 105, Hawthorne, CA 90250 Phone: 310-679-2251 Fax: 310-679-9387 | |
Dr. Karen Lynn Wrubel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13624 Hawthorne Blvd, Suite 206, Hawthorne, CA 90250 Phone: 310-675-0900 Fax: 310-675-0904 |