| Bedford Breast Center, Inc | |
|
436 N Bedford Dr Suite 105 Beverly Hills CA 90210-4310 | |
| (310) 278-8590 | |
| (310) 278-8230 |
| Full Name | Bedford Breast Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 436 N Bedford Dr, Beverly Hills, California |
| Authorized Official Name and Position | Nora Lyons (MANAGER) |
| Authorized Official Contact | 3102788590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedford Breast Center, Inc 436 N Bedford Dr Suite 105 Beverly Hills CA 90210-4310 Ph: (310) 278-8590 | Bedford Breast Center, Inc 436 N Bedford Dr Suite 105 Beverly Hills CA 90210-4310 Ph: (310) 278-8590 |
| NPI Number | 1760878367 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 04/09/2015 |
| Medicare PECOS PAC ID | 5395160295 |
|---|---|
| Medicare Enrollment ID | O20200810002260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760878367 | NPI | - | NPPES |
| C3762179 | Other | CORPORATION ENTITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Karen L Reuss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336190354 PECOS PAC ID: 7618866609 Enrollment ID: I20040315001429 |
| Provider Name | Guita Rahbar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942233853 PECOS PAC ID: 7416902903 Enrollment ID: I20050317000478 |
| Provider Name | Alyssa T Watanabe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780660472 PECOS PAC ID: 7911801840 Enrollment ID: I20051109001169 |
| Provider Name | Lakshmi Tegulapalle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659355824 PECOS PAC ID: 1850310343 Enrollment ID: I20080404000457 |
| Provider Name | Carol S Moss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548378144 PECOS PAC ID: 9931263753 Enrollment ID: I20180628002227 |
Treatmedngo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8950 W Olympic Blvd Ste 103&104, Beverly Hills, CA 90211 Phone: 310-274-8080 | |
Refael Medical, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8200 Wilshire Blvd, Beverly Hills, CA 90211 Phone: 310-879-7167 Fax: 310-933-5688 | |
Michael D. Borookhim, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9301 Wilshire Blvd, Suite 602, Beverly Hills, CA 90210 Phone: 310-288-0881 | |
Ultrasound Specialists Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9001 Wilshire Blvd, Suite 106, Beverly Hills, CA 90211 Phone: 310-273-8885 | |
Kaiser Permanente Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 S Arnaz Dr Apt 3, Beverly Hills, CA 90211 Phone: 213-215-5142 | |
Nancy P. Rahnama, M.d., A.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 N Rodeo Dr, Penthouse Number 1, Beverly Hills, CA 90210 Phone: 310-299-7373 Fax: 310-432-6647 | |
Laurence Seigler, M.d. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 435 N Bedford Dr, Suite 308, Beverly Hills, CA 90210 Phone: 310-274-6158 Fax: 310-274-5709 |