| Pinnacle Well Health Llc | |
|
3756 Santa Rosalia Dr Ste 100 Los Angeles CA 90008-3617 | |
| (323) 596-3530 | |
| Not Available |
| Full Name | Pinnacle Well Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3756 Santa Rosalia Dr Ste 100, Los Angeles, California |
| Authorized Official Name and Position | Sharon Logan (COO) |
| Authorized Official Contact | 6143166166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Well Health Llc 1171 Trappers Ct The Villages FL 32163-2746 Ph: (614) 316-6166 | Pinnacle Well Health Llc 3756 Santa Rosalia Dr Ste 100 Los Angeles CA 90008-3617 Ph: (323) 596-3530 |
| NPI Number | 1528827466 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 1052751971 |
|---|---|
| Medicare Enrollment ID | O20240425002466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528827466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shemika D Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538635693 PECOS PAC ID: 7214260405 Enrollment ID: I20190603001177 |
| Provider Name | Nolan C Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679799456 PECOS PAC ID: 4688601107 Enrollment ID: I20231116000881 |
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