| Douglas A. Webber, Md, A Medical Corporation | |
|
3171 Los Feliz Blvd. Suite 309 Los Angeles CA 90039-1537 | |
| (323) 666-6000 | |
| (323) 666-3761 |
| Full Name | Douglas A. Webber, Md, A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 3171 Los Feliz Blvd., Los Angeles, California |
| Authorized Official Name and Position | Joanne M. Berry-webber (OFFICE MANAGER) |
| Authorized Official Contact | 3236666000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas A. Webber, Md, A Medical Corporation 3171 Los Feliz Blvd. Suite 309 Los Angeles CA 90039-1537 Ph: (323) 666-6000 | Douglas A. Webber, Md, A Medical Corporation 3171 Los Feliz Blvd. Suite 309 Los Angeles CA 90039-1537 Ph: (323) 666-6000 |
| NPI Number | 1720173248 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 04/22/2008 |
| Medicare PECOS PAC ID | 9931140324 |
|---|---|
| Medicare Enrollment ID | O20050516000894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720173248 | NPI | - | NPPES |
| 00G832780 | Medicaid | CA | |
| G83278 | Other | CA | CA STATE LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G83278 (California) | Primary |
| Provider Name | Douglas A Webber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497783708 PECOS PAC ID: 1951368208 Enrollment ID: I20041217000631 |
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