| Marina Raikhel M D A Medical Corporation | |
|
25043 Narbonne Ave Lomita CA 90717-2101 | |
| (310) 373-8120 | |
| (424) 203-8980 |
| Full Name | Marina Raikhel M D A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 25043 Narbonne Ave, Lomita, California |
| Authorized Official Name and Position | Marina Raikhel (DIRECTOR) |
| Authorized Official Contact | 3103738120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Raikhel M D A Medical Corporation 25043 Narbonne Ave Lomita CA 90717-2101 Ph: (310) 373-8120 | Marina Raikhel M D A Medical Corporation 25043 Narbonne Ave Lomita CA 90717-2101 Ph: (310) 373-8120 |
| NPI Number | 1497739734 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 12/29/2009 |
| Medicare PECOS PAC ID | 8325196777 |
|---|---|
| Medicare Enrollment ID | O20090423000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497739734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A49056 (California) | Primary |
| Provider Name | Frank Y An |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558345843 PECOS PAC ID: 9436179777 Enrollment ID: I20051130000960 |
| Provider Name | Marina Raikhel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073792446 PECOS PAC ID: 7517015969 Enrollment ID: I20100414000989 |
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