Phillip Musikanth Md Inc | |
5901 W Olympic Blvd 401 Los Angeles CA 90036-4667 | |
(323) 954-1073 | |
(323) 954-1081 |
Full Name | Phillip Musikanth Md Inc |
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Speciality | Internal Medicine |
Location | 5901 W Olympic Blvd, Los Angeles, California |
Authorized Official Name and Position | Phillip Musikanth (OWNER) |
Authorized Official Contact | 3239541073 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Phillip Musikanth Md Inc 8033 W Sunset Blvd 1014 Los Angeles CA 90046-2401 Ph: (323) 954-1073 | Phillip Musikanth Md Inc 5901 W Olympic Blvd 401 Los Angeles CA 90036-4667 Ph: (323) 954-1073 |
NPI Number | 1659797355 |
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Provider Enumeration Date | 03/05/2014 |
Last Update Date | 03/05/2014 |
Medicare PECOS PAC ID | 4880818640 |
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Medicare Enrollment ID | O20140617002097 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659797355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A50223 (California) | Primary |
Provider Name | Phillip A Musikanth |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760495741 PECOS PAC ID: 8628015237 Enrollment ID: I20050414001205 |
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