| Lauren Spaciano Do A Medical Corporation | |
|
8700 Beverly Blvd West Hollywood CA 90048-1804 | |
| (661) 878-8150 | |
| (661) 878-8551 |
| Full Name | Lauren Spaciano Do A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 8700 Beverly Blvd, West Hollywood, California |
| Authorized Official Name and Position | Lauren M Spaciano (OWNER / PRESIDENT) |
| Authorized Official Contact | 6618788150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Spaciano Do A Medical Corporation Po Box 691039 West Hollywood CA 90069-9039 Ph: (661) 878-8150 | Lauren Spaciano Do A Medical Corporation 8700 Beverly Blvd West Hollywood CA 90048-1804 Ph: (661) 878-8150 |
| NPI Number | 1992288153 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/12/2018 |
| Medicare PECOS PAC ID | 6608120241 |
|---|---|
| Medicare Enrollment ID | O20190206003314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992288153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Lauren M Spaciano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184016081 PECOS PAC ID: 9537472238 Enrollment ID: I20181207002467 |
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