| Helena Fotiou Md Inc | |
|
8700 Beverly Blvd West Hollywood CA 90048-1804 | |
| (609) 915-0800 | |
| Not Available |
| Full Name | Helena Fotiou Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8700 Beverly Blvd, West Hollywood, California |
| Authorized Official Name and Position | Helena Fotiou (OWNER / PRESIDENT) |
| Authorized Official Contact | 6099150800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Helena Fotiou Md Inc 269 S Beverly Dr Suite 290 Beverly Hills CA 90212-3851 Ph: (609) 915-0800 | Helena Fotiou Md Inc 8700 Beverly Blvd West Hollywood CA 90048-1804 Ph: (609) 915-0800 |
| NPI Number | 1689059602 |
|---|---|
| Provider Enumeration Date | 07/21/2015 |
| Last Update Date | 07/22/2015 |
| Medicare PECOS PAC ID | 8123334422 |
|---|---|
| Medicare Enrollment ID | O20150901002552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689059602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A128464 (California) | Primary |
| 208M00000X | Hospitalist | A128464 (California) | Secondary |
| Provider Name | Helena Fotiou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700144946 PECOS PAC ID: 6901112200 Enrollment ID: I20150902000105 |
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