| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 06/26/2024 |
| Medicare PECOS PAC ID | 1456404573 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477696292 PECOS PAC ID: 3678507738 Enrollment ID: I20050919001081 |
| Provider Name | Joseph Defoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033149711 PECOS PAC ID: 1850444969 Enrollment ID: I20090806000192 |
| Provider Name | Manuel J Pardo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366699423 PECOS PAC ID: 1254517212 Enrollment ID: I20110510000145 |
| Provider Name | David M Tellalian |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003073826 PECOS PAC ID: 4789845025 Enrollment ID: I20120413000471 |
| Provider Name | Anthony Martin Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679683049 PECOS PAC ID: 2668622010 Enrollment ID: I20121022000405 |
| Provider Name | Michael Seibert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134380298 PECOS PAC ID: 5799925087 Enrollment ID: I20130710000317 |
| Provider Name | Rodney Paul Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801902077 PECOS PAC ID: 9436377843 Enrollment ID: I20151221001761 |
| Provider Name | James Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699088922 PECOS PAC ID: 8820309735 Enrollment ID: I20180402000334 |
| Provider Name | Casey James Welk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083104582 PECOS PAC ID: 5698024164 Enrollment ID: I20180815004079 |
| Provider Name | Isaac Mendyl Berlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770015158 PECOS PAC ID: 5294001731 Enrollment ID: I20201211001912 |
| Provider Name | Tri M Trang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720519267 PECOS PAC ID: 6002189081 Enrollment ID: I20210511002535 |
| Provider Name | Carlos Estrella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932769924 PECOS PAC ID: 4981088135 Enrollment ID: I20220907001955 |
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