| Martin L. Alpert, M.d., Inc. | |
|
2811 Wilshire Blvd Ste 810 Santa Monica CA 90403 | |
| (310) 393-0739 | |
| (310) 395-2063 |
| Full Name | Martin L. Alpert, M.d., Inc. |
|---|---|
| Speciality | General Practice |
| Location | 2811 Wilshire Blvd Ste 810, Santa Monica, California |
| Authorized Official Name and Position | Beatriz Gutierrez (OFFICE MANAGER) |
| Authorized Official Contact | 3103930739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin L. Alpert, M.d., Inc. 2811 Wilshire Blvd Ste 810 Santa Monica CA 90403-4812 Ph: (310) 393-0739 | Martin L. Alpert, M.d., Inc. 2811 Wilshire Blvd Ste 810 Santa Monica CA 90403 Ph: (310) 393-0739 |
| NPI Number | 1558531632 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 10/07/2020 |
| Medicare PECOS PAC ID | 3577530401 |
|---|---|
| Medicare Enrollment ID | O20040910001177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558531632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Randall C Pokomo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619928694 PECOS PAC ID: 8729017520 Enrollment ID: I20050811000808 |
| Provider Name | Ronald J Hale |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437238839 PECOS PAC ID: 8123109733 Enrollment ID: I20080121000128 |
| Provider Name | Martin L Alpert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033150123 PECOS PAC ID: 1759358682 Enrollment ID: I20120417000799 |
| Provider Name | Jaime Lynn Macone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710559067 PECOS PAC ID: 9739550856 Enrollment ID: I20230126003123 |
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