| Peyton P. Berookim, Md Inc | |
|
150 N Robertson Blvd Suite 204 Beverly Hills CA 90211 | |
| (310) 271-1122 | |
| Not Available |
| Full Name | Peyton P. Berookim, Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 N Robertson Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Peyton Berookim (PRESIDENT) |
| Authorized Official Contact | 3102711122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peyton P. Berookim, Md Inc Po Box 67672 Los Angeles CA 90067-0065 Ph: (310) 273-7365 | Peyton P. Berookim, Md Inc 150 N Robertson Blvd Suite 204 Beverly Hills CA 90211 Ph: (310) 271-1122 |
| NPI Number | 1669618559 |
|---|---|
| Provider Enumeration Date | 12/23/2008 |
| Last Update Date | 11/01/2016 |
| Medicare PECOS PAC ID | 6901944529 |
|---|---|
| Medicare Enrollment ID | O20091118000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669618559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A91789 (California) | Primary |
| Provider Name | Peyton P Berookim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770773830 PECOS PAC ID: 4183705528 Enrollment ID: I20080111000266 |
| Provider Name | Lidija M Petrovic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457326266 PECOS PAC ID: 9234159344 Enrollment ID: I20081205000200 |
| Provider Name | Thong T Nguyen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528263175 PECOS PAC ID: 3971649369 Enrollment ID: I20221228002457 |
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