| Galina Makovoz Md A Professional Corporation | |
|
7607 Santa Monica Blvd Ste 27 West Hollywood CA 90046-6400 | |
| (323) 650-5494 | |
| (323) 650-5495 |
| Full Name | Galina Makovoz Md A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 7607 Santa Monica Blvd Ste 27, West Hollywood, California |
| Authorized Official Name and Position | Marina Broytman (OFFICE MANAGER) |
| Authorized Official Contact | 3236505494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Galina Makovoz Md A Professional Corporation 7607 Santa Monica Blvd Ste 27 West Hollywood CA 90046-6400 Ph: (323) 650-5494 | Galina Makovoz Md A Professional Corporation 7607 Santa Monica Blvd Ste 27 West Hollywood CA 90046-6400 Ph: (323) 650-5494 |
| NPI Number | 1992028591 |
|---|---|
| Provider Enumeration Date | 03/10/2010 |
| Last Update Date | 07/02/2010 |
| Medicare PECOS PAC ID | 6709072168 |
|---|---|
| Medicare Enrollment ID | O20101124000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992028591 | NPI | - | NPPES |
| 00A477561 | Medicaid | CA | |
| 00A477560 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A47756 (California) | Primary |
| Provider Name | Galina Makovoz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558351833 PECOS PAC ID: 8527970425 Enrollment ID: I20101124000293 |
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