Mark Davidson Md Inc | |
8631 W 3rd St # 1135e Los Angeles CA 90048-5901 | |
(310) 855-0222 | |
(310) 652-1905 |
Full Name | Mark Davidson Md Inc |
---|---|
Speciality | Internal Medicine |
Location | 8631 W 3rd St # 1135e, Los Angeles, California |
Authorized Official Name and Position | Mark Mehrdad Davidson (PRESIDENT) |
Authorized Official Contact | 3108550222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mark Davidson Md Inc Po Box 7487 Beverly Hills CA 90212-7487 Ph: (310) 855-0222 | Mark Davidson Md Inc 8631 W 3rd St # 1135e Los Angeles CA 90048-5901 Ph: (310) 855-0222 |
NPI Number | 1033142344 |
---|---|
Provider Enumeration Date | 07/09/2006 |
Last Update Date | 05/03/2024 |
Medicare PECOS PAC ID | 1951554591 |
---|---|
Medicare Enrollment ID | O20130110000502 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033142344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | A67586 (California) | Primary |
Provider Name | Mark M Davidson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1164459178 PECOS PAC ID: 0648261727 Enrollment ID: I20040518001588 |
Provider Name | Cameron S Sikavi |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1114303302 PECOS PAC ID: 6103161732 Enrollment ID: I20220601000668 |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |