| Modern Human Md Pc | |
|
1301 20th St Ste 550 Santa Monica CA 90404-2054 | |
| (310) 315-0231 | |
| (310) 315-0235 |
| Full Name | Modern Human Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1301 20th St Ste 550, Santa Monica, California |
| Authorized Official Name and Position | Stephanie Tran (PHYSICIAN) |
| Authorized Official Contact | 5053586070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Human Md Pc 414 N Maple Dr Apt 201 Beverly Hills CA 90210-3832 Ph: (505) 358-6070 | Modern Human Md Pc 1301 20th St Ste 550 Santa Monica CA 90404-2054 Ph: (310) 315-0231 |
| NPI Number | 1992583413 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 7315397312 |
|---|---|
| Medicare Enrollment ID | O20240102003917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992583413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephanie A Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770999450 PECOS PAC ID: 5193081198 Enrollment ID: I20171107003550 |
Vitality&longevity Medical Center A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2221 Lincoln Blvd, Suite 200, Santa Monica, CA 90405 Phone: 310-581-8585 Fax: 320-215-4650 | |
Cynthia Kodama, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2104 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-882-8258 | |
Premier Medical Group. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2336 Santa Monica Blvd, Suite 304, Santa Monica, CA 90404 Phone: 310-420-9191 | |
Santa Monica Bay Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd, 1070, Santa Monica, CA 90404 Phone: 310-315-7900 Fax: 310-315-7931 | |
Santa Monica Bay Physicinas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 15th St, 1501, Santa Monica, CA 90404 Phone: 310-656-1700 Fax: 310-458-1061 | |
Jimmy C. Huang, D.o. A Professional Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2210 Santa Monica Blvd., Suite C, Santa Monica, CA 90404 Phone: 310-828-1708 Fax: 310-828-1705 | |
Joseph J Pinzone M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2001 Santa Monica Blvd Ste 1190w, Santa Monica, CA 90404 Phone: 888-580-5900 Fax: 855-510-0119 |