Michelle Ischayek Do Pc | |
1055 W 7th St Ste 1770 Los Angeles CA 90017-3019 | |
(310) 651-3636 | |
Not Available |
Full Name | Michelle Ischayek Do Pc |
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Speciality | Family Medicine |
Location | 1055 W 7th St Ste 1770, Los Angeles, California |
Authorized Official Name and Position | Michelle Ischayek (CEO) |
Authorized Official Contact | 3106513636 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michelle Ischayek Do Pc 287 S Robertson # 319 Beverly Hills CA 90211-2810 Ph: () - | Michelle Ischayek Do Pc 1055 W 7th St Ste 1770 Los Angeles CA 90017-3019 Ph: (310) 651-3636 |
NPI Number | 1114699410 |
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Provider Enumeration Date | 10/05/2021 |
Last Update Date | 10/05/2021 |
Medicare PECOS PAC ID | 8527451723 |
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Medicare Enrollment ID | O20220211000427 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114699410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Michelle L Ischayek |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1902194533 PECOS PAC ID: 5698919934 Enrollment ID: I20150909002524 |
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