| Manchester Medical Group Pc | |
|
6222 W Manchester Ave Ste A Los Angeles CA 90045-3801 | |
| (310) 670-1840 | |
| (310) 670-4016 |
| Full Name | Manchester Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6222 W Manchester Ave Ste A, Los Angeles, California |
| Authorized Official Name and Position | Cindy Andrewin (OFFICE MANAGER) |
| Authorized Official Contact | 3106701840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manchester Medical Group Pc 6222 W Manchester Ave Ste A Los Angeles CA 90045-3801 Ph: (310) 670-1840 | Manchester Medical Group Pc 6222 W Manchester Ave Ste A Los Angeles CA 90045-3801 Ph: (310) 670-1840 |
| NPI Number | 1164918892 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 07/05/2018 |
| Medicare PECOS PAC ID | 3274884416 |
|---|---|
| Medicare Enrollment ID | O20180926003063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164918892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rabin Beral |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154361871 PECOS PAC ID: 7113912452 Enrollment ID: I20040416001007 |
| Provider Name | Paymon Banafshe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346341575 PECOS PAC ID: 6709890726 Enrollment ID: I20060130000461 |
| Provider Name | James M Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235227778 PECOS PAC ID: 3375645757 Enrollment ID: I20110221000165 |
| Provider Name | Sheri Lee Weitz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447525126 PECOS PAC ID: 2163670332 Enrollment ID: I20120912000664 |
| Provider Name | Annahita Pourmand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649615881 PECOS PAC ID: 0840583670 Enrollment ID: I20160801001423 |
| Provider Name | Lauren Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508250531 PECOS PAC ID: 6406138239 Enrollment ID: I20180927000106 |
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