| Besht Wellness | |
|
1086 S Fairfax Ave Los Angeles CA 90019-4401 | |
| (424) 258-0124 | |
| (310) 602-6515 |
| Full Name | Besht Wellness |
|---|---|
| Speciality | Internal Medicine |
| Location | 1086 S Fairfax Ave, Los Angeles, California |
| Authorized Official Name and Position | Michael Jacob Ghods (PRESIDENT & CEO) |
| Authorized Official Contact | 4242580124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Besht Wellness 1086 S Fairfax Ave Los Angeles CA 90019-4401 Ph: (424) 258-0124 | Besht Wellness 1086 S Fairfax Ave Los Angeles CA 90019-4401 Ph: (424) 258-0124 |
| NPI Number | 1790344869 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 02/25/2024 |
| Medicare PECOS PAC ID | 4183051998 |
|---|---|
| Medicare Enrollment ID | O20200217000817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790344869 | NPI | - | NPPES |
| Provider Name | Jeffrey L Millman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831393347 PECOS PAC ID: 2860487386 Enrollment ID: I20040415000599 |
| Provider Name | Parmjit Dhandi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295193035 PECOS PAC ID: 0840579868 Enrollment ID: I20161115002674 |
| Provider Name | Michael J Ghods |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548581192 PECOS PAC ID: 1456638824 Enrollment ID: I20170512000739 |
| Provider Name | Ilana Solomon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235517665 PECOS PAC ID: 5698010924 Enrollment ID: I20181214001358 |
| Provider Name | Jonathan Youssefzadeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811415631 PECOS PAC ID: 6800128364 Enrollment ID: I20191101001711 |
| Provider Name | David Ghods |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1992234199 PECOS PAC ID: 7012287949 Enrollment ID: I20200203002183 |
| Provider Name | Ioana Caranica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881101590 PECOS PAC ID: 7719301217 Enrollment ID: I20200716002290 |
| Provider Name | Alisha Van Der Linden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144962358 PECOS PAC ID: 9335523315 Enrollment ID: I20220825002445 |
| Provider Name | Adam Rosendorff |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386831444 PECOS PAC ID: 0345398228 Enrollment ID: I20240522000768 |
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