Benjamin Basseri Md Inc. | |
8631 W 3rd St Ste 1015e Los Angeles CA 90048-5925 | |
(310) 652-4472 | |
(310) 358-2266 |
Full Name | Benjamin Basseri Md Inc. |
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Speciality | Internal Medicine |
Location | 8631 W 3rd St Ste 1015e, Los Angeles, California |
Authorized Official Name and Position | Benjamin Basseri (CEO) |
Authorized Official Contact | 3109222613 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Benjamin Basseri Md Inc. 8631 W 3rd St Ste 1015e Los Angeles CA 90048-5925 Ph: (310) 855-5855 | Benjamin Basseri Md Inc. 8631 W 3rd St Ste 1015e Los Angeles CA 90048-5925 Ph: (310) 652-4472 |
NPI Number | 1578908422 |
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Provider Enumeration Date | 05/06/2013 |
Last Update Date | 07/23/2024 |
Medicare PECOS PAC ID | 3375782584 |
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Medicare Enrollment ID | O20130619000646 |
Identifier | Type | State | Issuer |
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1578908422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Khodadad Mehraein |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1316147374 PECOS PAC ID: 6002902236 Enrollment ID: I20071018000460 |
Provider Name | Todd A Glauser |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1336139773 PECOS PAC ID: 6305837899 Enrollment ID: I20110505000480 |
Provider Name | Jin Guo |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1538375217 PECOS PAC ID: 1254587553 Enrollment ID: I20120801000652 |
Provider Name | Benjamin Basseri |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1801059647 PECOS PAC ID: 4284873498 Enrollment ID: I20130619000653 |
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