| Health Atlast West La Inc | |
|
3030 Sawtelle Blvd Los Angeles CA 90066-1408 | |
| (310) 390-9018 | |
| (310) 390-0868 |
| Full Name | Health Atlast West La Inc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 3030 Sawtelle Blvd, Los Angeles, California |
| Authorized Official Name and Position | Wayne Higashi (PRESIDENT) |
| Authorized Official Contact | 3103909018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Atlast West La Inc 3030 Sawtelle Blvd Los Angeles CA 90066-1408 Ph: (310) 390-9018 | Health Atlast West La Inc 3030 Sawtelle Blvd Los Angeles CA 90066-1408 Ph: (310) 390-9018 |
| NPI Number | 1376968610 |
|---|---|
| Provider Enumeration Date | 02/24/2014 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 7719100478 |
|---|---|
| Medicare Enrollment ID | O20140527001161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376968610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | A99205 (California) | Primary |
| Provider Name | Sunil G Sujan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598740474 PECOS PAC ID: 8527041516 Enrollment ID: I20040610001012 |
| Provider Name | Christopher Cleveland |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811148943 PECOS PAC ID: 5395793228 Enrollment ID: I20050107000360 |
| Provider Name | Stephanie Christine Higashi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619981057 PECOS PAC ID: 3375586076 Enrollment ID: I20050603000398 |
| Provider Name | Wayne Higashi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528073848 PECOS PAC ID: 4688692601 Enrollment ID: I20051108001129 |
| Provider Name | Franz Gliederer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831318765 PECOS PAC ID: 7911092275 Enrollment ID: I20071001000853 |
| Provider Name | Tsz Ying Y Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710180419 PECOS PAC ID: 5890843916 Enrollment ID: I20090429000590 |
| Provider Name | Bryce Matthews |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164732012 PECOS PAC ID: 7315119922 Enrollment ID: I20111004000179 |
| Provider Name | Adam H Silver |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548465255 PECOS PAC ID: 6305018664 Enrollment ID: I20111010000144 |
| Provider Name | Shamel Hashish |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205003027 PECOS PAC ID: 6901079979 Enrollment ID: I20140513001742 |
| Provider Name | Andrew Samuel Lopez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659798296 PECOS PAC ID: 5496973067 Enrollment ID: I20140822000984 |
| Provider Name | Zin M Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508122136 PECOS PAC ID: 3779806161 Enrollment ID: I20141215002182 |
| Provider Name | Na Young Song |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1871723122 PECOS PAC ID: 2961794557 Enrollment ID: I20160629002295 |
| Provider Name | Maria Guevara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316124662 PECOS PAC ID: 5395038822 Enrollment ID: I20160721001011 |
| Provider Name | Kassandra L Walkowiak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609310119 PECOS PAC ID: 1557642964 Enrollment ID: I20161223000099 |
| Provider Name | Richard Ochs |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356643043 PECOS PAC ID: 3678856267 Enrollment ID: I20170206000705 |
| Provider Name | Daniel James Paveloff |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114097847 PECOS PAC ID: 3375642176 Enrollment ID: I20170206002708 |
| Provider Name | Brian Huth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376948158 PECOS PAC ID: 2062798564 Enrollment ID: I20170418001830 |
| Provider Name | Andree M Leroy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750578357 PECOS PAC ID: 7315130234 Enrollment ID: I20180220002031 |
| Provider Name | Mansoor Al Ameri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710404983 PECOS PAC ID: 7810245594 Enrollment ID: I20180813002711 |
| Provider Name | Norr Rosario Santz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1154731255 PECOS PAC ID: 1557695228 Enrollment ID: I20190628002849 |
| Provider Name | Maria Lourdes Cabula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477037828 PECOS PAC ID: 5991131138 Enrollment ID: I20200205002898 |
| Provider Name | Paul Tran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245610559 PECOS PAC ID: 7618305111 Enrollment ID: I20200316002741 |
| Provider Name | Farhad Hamidi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871143297 PECOS PAC ID: 1052736964 Enrollment ID: I20200807003052 |
| Provider Name | Wesley Jerome Oaties |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053928390 PECOS PAC ID: 5193144392 Enrollment ID: I20201007000567 |
| Provider Name | Ping-hsuan Chiao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780297663 PECOS PAC ID: 5890105423 Enrollment ID: I20201110000577 |
| Provider Name | Shahed Sadr |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538731922 PECOS PAC ID: 7810390382 Enrollment ID: I20210721001119 |
| Provider Name | Jack J Khalili |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902041387 PECOS PAC ID: 9436555307 Enrollment ID: I20210901002711 |
| Provider Name | Ashley Franklin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114425857 PECOS PAC ID: 8729461561 Enrollment ID: I20220811002582 |
| Provider Name | Paul Howard Hamilton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104556547 PECOS PAC ID: 1254717473 Enrollment ID: I20220926001674 |
| Provider Name | Mabel De La Luz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942999891 PECOS PAC ID: 0244697761 Enrollment ID: I20230526001946 |
| Provider Name | Jimmy Meas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053174425 PECOS PAC ID: 6204271414 Enrollment ID: I20240227004600 |
| Provider Name | Amber Harris |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639937568 PECOS PAC ID: 5698112241 Enrollment ID: I20240319002306 |
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