| Dr Mona Shah Professional Corporation | |
|
1600 S Gaffey St San Pedro CA 90731-4628 | |
| (310) 548-0201 | |
| (310) 547-3340 |
| Full Name | Dr Mona Shah Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 S Gaffey St, San Pedro, California |
| Authorized Official Name and Position | Mona Shah (OWNER) |
| Authorized Official Contact | 3105480201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mona Shah Professional Corporation 1600 S Gaffey St San Pedro CA 90731-4628 Ph: (310) 548-0201 | Dr Mona Shah Professional Corporation 1600 S Gaffey St San Pedro CA 90731-4628 Ph: (310) 548-0201 |
| NPI Number | 1053643171 |
|---|---|
| Provider Enumeration Date | 02/01/2010 |
| Last Update Date | 09/25/2020 |
| Medicare PECOS PAC ID | 2062548084 |
|---|---|
| Medicare Enrollment ID | O20100405000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053643171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A56119 (California) | Primary |
| Provider Name | Valerie Grant |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922041102 PECOS PAC ID: 8921093303 Enrollment ID: I20040416000339 |
| Provider Name | Sharon F Genato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902906555 PECOS PAC ID: 1355330101 Enrollment ID: I20040507000998 |
| Provider Name | Mona S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609087543 PECOS PAC ID: 3678531902 Enrollment ID: I20050103000603 |
| Provider Name | Jillian Sally Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639296957 PECOS PAC ID: 7113931445 Enrollment ID: I20060125001027 |
| Provider Name | Lilia Prado-gober |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326107954 PECOS PAC ID: 0547322976 Enrollment ID: I20081219000039 |
| Provider Name | Mirko A Giaconi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609850700 PECOS PAC ID: 1456496314 Enrollment ID: I20100303000204 |
| Provider Name | Neda Khadem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184951345 PECOS PAC ID: 3274660592 Enrollment ID: I20100419000463 |
| Provider Name | Stephen D Taus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508896259 PECOS PAC ID: 8325237449 Enrollment ID: I20110105000710 |
| Provider Name | Curtis Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477710028 PECOS PAC ID: 2365761764 Enrollment ID: I20150506002917 |
| Provider Name | Anastasia Buerger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437699774 PECOS PAC ID: 6507291291 Enrollment ID: I20200128000788 |
| Provider Name | Robert M Thayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396199378 PECOS PAC ID: 5395172134 Enrollment ID: I20200217004154 |
| Provider Name | Carolyn Joann Vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669654885 PECOS PAC ID: 7911231543 Enrollment ID: I20200414003378 |
| Provider Name | Paul Sliskovich |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245892934 PECOS PAC ID: 1456680446 Enrollment ID: I20220715000318 |
Ramin Alizadeh Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1534 W 25th St, San Pedro, CA 90732 Phone: 310-547-3034 Fax: 310-548-5242 | |
San Miguel Urgent Care San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 W 7th St, San Pedro, CA 90731 Phone: 424-264-5630 | |
Mark Perez Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 W 6th St, 2nd Floor #7, San Pedro, CA 90732 Phone: 310-832-1126 Fax: 310-831-3000 | |
Jeremy Anuntiyo Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1360 W 6th St Ste 310, San Pedro, CA 90732 Phone: 562-529-7772 Fax: 562-529-5449 | |
Multicare Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 S Pacific Ave, Suite #201, San Pedro, CA 90731 Phone: 424-570-6960 Fax: 424-570-6952 | |
Total Body Advanced Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 789 W 9th St, San Pedro, CA 90731 Phone: 310-519-1557 Fax: 310-519-0330 |