Anthony Martin Mills Md A Medical Corporation | |
9201 W Sunset Blvd 812 West Hollywood CA 90069-3701 | |
(310) 550-1010 | |
(310) 550-0650 |
Full Name | Anthony Martin Mills Md A Medical Corporation |
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Speciality | Internal Medicine |
Location | 9201 W Sunset Blvd, West Hollywood, California |
Authorized Official Name and Position | Anthony Martin Mills (PRESIDENT) |
Authorized Official Contact | 3105501010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Anthony Martin Mills Md A Medical Corporation 9201 W Sunset Blvd 812 West Hollywood CA 90069-3701 Ph: (310) 550-1010 | Anthony Martin Mills Md A Medical Corporation 9201 W Sunset Blvd 812 West Hollywood CA 90069-3701 Ph: (310) 550-1010 |
NPI Number | 1497172043 |
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Provider Enumeration Date | 03/20/2014 |
Last Update Date | 06/26/2024 |
Medicare PECOS PAC ID | 1456404573 |
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Medicare Enrollment ID | O20140701001965 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497172043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A44497 (California) | Primary |
Provider Name | Tracy D Robinson |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1477696292 PECOS PAC ID: 3678507738 Enrollment ID: I20050919001081 |
Provider Name | Joseph Defoto |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033149711 PECOS PAC ID: 1850444969 Enrollment ID: I20090806000192 |
Provider Name | Manuel J Pardo |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1366699423 PECOS PAC ID: 1254517212 Enrollment ID: I20110510000145 |
Provider Name | Anthony Martin Mills |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679683049 PECOS PAC ID: 2668622010 Enrollment ID: I20121022000405 |
Provider Name | Tri M Trang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720519267 PECOS PAC ID: 6002189081 Enrollment ID: I20210511002535 |
Provider Name | Joseph Viet Tran |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700529484 PECOS PAC ID: 9739627456 Enrollment ID: I20240813002468 |
Provider Name | Allen Eugene Lipscomb |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710185350 PECOS PAC ID: 9234679903 Enrollment ID: I20240909002341 |
Provider Name | Luz Ramirez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417624693 PECOS PAC ID: 5496295198 Enrollment ID: I20240909003305 |
Provider Name | James Bon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477607463 PECOS PAC ID: 3577003086 Enrollment ID: I20240911002287 |
Provider Name | Victor John Pascual Barcarse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629646286 PECOS PAC ID: 8729465315 Enrollment ID: I20240919000507 |
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