| Michael Burton Md A Medical Group Inc | |
|
2101 N Hillhurst Ave Los Angeles CA 90027 | |
| (323) 664-2931 | |
| (323) 664-8931 |
| Full Name | Michael Burton Md A Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 2101 N Hillhurst Ave, Los Angeles, California |
| Authorized Official Name and Position | Michael S Burton (OWNER) |
| Authorized Official Contact | 3236642931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Burton Md A Medical Group Inc 2101 N Hillhurst Ave Los Angeles CA 90027 Ph: (323) 664-2931 | Michael Burton Md A Medical Group Inc 2101 N Hillhurst Ave Los Angeles CA 90027 Ph: (323) 664-2931 |
| NPI Number | 1114940061 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 02/17/2015 |
| Medicare PECOS PAC ID | 0547280794 |
|---|---|
| Medicare Enrollment ID | O20051201000993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114940061 | NPI | - | NPPES |
| ZZZ84154Z | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Michele Sundaram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497739528 PECOS PAC ID: 3971495201 Enrollment ID: I20040329001859 |
| Provider Name | Jawahar Sundaram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720082100 PECOS PAC ID: 3274593843 Enrollment ID: I20041018000840 |
| Provider Name | Michael S Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477513547 PECOS PAC ID: 5294749776 Enrollment ID: I20100622000221 |
| Provider Name | Martin Hauptschein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083733695 PECOS PAC ID: 6901977073 Enrollment ID: I20100913000541 |
| Provider Name | Senam E Oraha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124228457 PECOS PAC ID: 7719138718 Enrollment ID: I20121126000423 |
| Provider Name | Robert Khatchatourian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235640970 PECOS PAC ID: 4486918000 Enrollment ID: I20180508001347 |
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