| Platinum Medical Group | |
|
8733 Beverly Blvd Ste 306 West Hollywood CA 90048-1843 | |
| (310) 388-6798 | |
| (323) 400-4302 |
| Full Name | Platinum Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 8733 Beverly Blvd Ste 306, West Hollywood, California |
| Authorized Official Name and Position | Melissa Harlan (DIRECTOR) |
| Authorized Official Contact | 6155776340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Platinum Medical Group 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-1674 | Platinum Medical Group 8733 Beverly Blvd Ste 306 West Hollywood CA 90048-1843 Ph: (310) 388-6798 |
| NPI Number | 1043510183 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 09/14/2021 |
| Medicare PECOS PAC ID | 6406089739 |
|---|---|
| Medicare Enrollment ID | O20140512001295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043510183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Deborah Ann Volk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174574081 PECOS PAC ID: 4880596311 Enrollment ID: I20040123000873 |
| Provider Name | Victor L Souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457340200 PECOS PAC ID: 4385546381 Enrollment ID: I20040127001232 |
| Provider Name | Yung T Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275607020 PECOS PAC ID: 6103713722 Enrollment ID: I20040228000566 |
| Provider Name | Sam Baroudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316936933 PECOS PAC ID: 3678465465 Enrollment ID: I20040326000627 |
| Provider Name | Kaveh S Farhoomand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447249040 PECOS PAC ID: 9830182914 Enrollment ID: I20040405001589 |
| Provider Name | Emad D Bishay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821087511 PECOS PAC ID: 9830187889 Enrollment ID: I20040712000735 |
| Provider Name | Stephanus Ricardo Philip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043255797 PECOS PAC ID: 7911973235 Enrollment ID: I20040908001082 |
| Provider Name | Olexander Barchan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659361798 PECOS PAC ID: 9537110531 Enrollment ID: I20050208000189 |
| Provider Name | Gillian Bruno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023053899 PECOS PAC ID: 5698722627 Enrollment ID: I20050401000619 |
| Provider Name | Leila Shabanian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013963073 PECOS PAC ID: 9436191632 Enrollment ID: I20050527000331 |
| Provider Name | Minh Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154403640 PECOS PAC ID: 0840234647 Enrollment ID: I20050622000616 |
| Provider Name | Richard B Day |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386716959 PECOS PAC ID: 6204860208 Enrollment ID: I20050920000460 |
| Provider Name | Yasser Farrag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588694475 PECOS PAC ID: 8123049145 Enrollment ID: I20051216000787 |
| Provider Name | Jaganath A Naidu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447283924 PECOS PAC ID: 3072535681 Enrollment ID: I20051223000243 |
| Provider Name | Beverly S Botnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790754455 PECOS PAC ID: 4082636303 Enrollment ID: I20051229000370 |
| Provider Name | Scott L Worman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558433276 PECOS PAC ID: 6305869975 Enrollment ID: I20060110000329 |
| Provider Name | Sarah L Cadman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427003490 PECOS PAC ID: 9537183363 Enrollment ID: I20060119000864 |
| Provider Name | Michael D Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669402764 PECOS PAC ID: 2163436007 Enrollment ID: I20060131000523 |
| Provider Name | Nancy Waters |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336168988 PECOS PAC ID: 3476559725 Enrollment ID: I20061010000826 |
| Provider Name | Ellen C Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235178310 PECOS PAC ID: 6103803382 Enrollment ID: I20061214000454 |
| Provider Name | Robert S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528081155 PECOS PAC ID: 9638271489 Enrollment ID: I20070224000153 |
| Provider Name | Adil A Abbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548261316 PECOS PAC ID: 0749383214 Enrollment ID: I20070321000607 |
| Provider Name | Christopher D Olonan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013050541 PECOS PAC ID: 4486751500 Enrollment ID: I20070523000634 |
| Provider Name | Rabin Nikjoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316085152 PECOS PAC ID: 7618061961 Enrollment ID: I20070918000521 |
| Provider Name | Niceto Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003012931 PECOS PAC ID: 3577651264 Enrollment ID: I20071113000785 |
| Provider Name | Deepa Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457548190 PECOS PAC ID: 3274613971 Enrollment ID: I20080108000322 |
| Provider Name | Mark C Obrien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497744247 PECOS PAC ID: 6103728118 Enrollment ID: I20080307000443 |
| Provider Name | Nana Barseghian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245401819 PECOS PAC ID: 1759460348 Enrollment ID: I20080507000580 |
| Provider Name | Hemal Kadakia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588686042 PECOS PAC ID: 3476579624 Enrollment ID: I20080529000930 |
| Provider Name | Vivian Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689869570 PECOS PAC ID: 9739247057 Enrollment ID: I20081015000172 |
| Provider Name | Christopher A Gruber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679743405 PECOS PAC ID: 5597825133 Enrollment ID: I20081128000041 |
| Provider Name | Shamim V Shakibai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164607677 PECOS PAC ID: 1456412832 Enrollment ID: I20081203000595 |
| Provider Name | Sudhir P Kakarla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134243439 PECOS PAC ID: 6800957572 Enrollment ID: I20081212000725 |
| Provider Name | Auyporn Dansunankul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487717534 PECOS PAC ID: 8921074725 Enrollment ID: I20090421000657 |
| Provider Name | Bhavinkumar Kanjibhai Meghapara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649461872 PECOS PAC ID: 6103915731 Enrollment ID: I20090527000547 |
| Provider Name | Rusong Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598767949 PECOS PAC ID: 3678625647 Enrollment ID: I20090722000422 |
| Provider Name | Meenakshi Sachdeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700028792 PECOS PAC ID: 1355494618 Enrollment ID: I20090804000256 |
| Provider Name | Preeti Chopra |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1699951202 PECOS PAC ID: 4880749720 Enrollment ID: I20090828000518 |
| Provider Name | Stoimen S Evtimov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184861684 PECOS PAC ID: 9436204773 Enrollment ID: I20090909000797 |
| Provider Name | N'deye F Kama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770747024 PECOS PAC ID: 2163598970 Enrollment ID: I20090926000091 |
| Provider Name | Vinaya Konduri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164451282 PECOS PAC ID: 2163458464 Enrollment ID: I20090926000097 |
| Provider Name | Liana Diants |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619105608 PECOS PAC ID: 2860539749 Enrollment ID: I20091026000516 |
| Provider Name | Carlo Medina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093786444 PECOS PAC ID: 6901818087 Enrollment ID: I20100630000706 |
| Provider Name | Eric P Barco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619940095 PECOS PAC ID: 4082742580 Enrollment ID: I20101005000494 |
| Provider Name | Tony Khanh Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487832234 PECOS PAC ID: 6608069562 Enrollment ID: I20101023000059 |
| Provider Name | James R Penrose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831258458 PECOS PAC ID: 7315134970 Enrollment ID: I20101208000457 |
| Provider Name | Mehdi Manzari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689807463 PECOS PAC ID: 8820285273 Enrollment ID: I20101210000187 |
| Provider Name | Rasam M Hosseinian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326092834 PECOS PAC ID: 9638107659 Enrollment ID: I20101222000652 |
| Provider Name | Sukhdeep Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841448859 PECOS PAC ID: 9436204096 Enrollment ID: I20110128000258 |
| Provider Name | Pedram Babadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306027503 PECOS PAC ID: 6305923137 Enrollment ID: I20110315000658 |
| Provider Name | Gagandeep S Rahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184948119 PECOS PAC ID: 5294911558 Enrollment ID: I20110520000537 |
| Provider Name | Pawan K Juneja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598863953 PECOS PAC ID: 3678751567 Enrollment ID: I20110623000554 |
| Provider Name | Teamrat Araia Adhanom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275795916 PECOS PAC ID: 7911179577 Enrollment ID: I20111004000737 |
| Provider Name | Paul T Dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801882592 PECOS PAC ID: 7719056589 Enrollment ID: I20120229000087 |
| Provider Name | Yasaman Omidvar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235366584 PECOS PAC ID: 5193986115 Enrollment ID: I20120418000192 |
| Provider Name | Sandeep Reen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912284621 PECOS PAC ID: 2466615463 Enrollment ID: I20120717000235 |
| Provider Name | Harsh Agrawal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629397674 PECOS PAC ID: 2567618176 Enrollment ID: I20120815000293 |
| Provider Name | Vema H Bolla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699078220 PECOS PAC ID: 5092962977 Enrollment ID: I20120828000736 |
| Provider Name | Borna Solomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124300082 PECOS PAC ID: 6507015120 Enrollment ID: I20120925000654 |
| Provider Name | Rushabh H. Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518290493 PECOS PAC ID: 2961654454 Enrollment ID: I20121207000395 |
| Provider Name | Royce M Fagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407814486 PECOS PAC ID: 3577452762 Enrollment ID: I20130107000188 |
| Provider Name | Pradeep Kaur Hundal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326292400 PECOS PAC ID: 1759550627 Enrollment ID: I20130118000146 |
| Provider Name | Garry Forkosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750519385 PECOS PAC ID: 9234285479 Enrollment ID: I20130531000209 |
| Provider Name | Sarkis Bolisajian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568557163 PECOS PAC ID: 2961579164 Enrollment ID: I20130724000942 |
| Provider Name | Reza Bashtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285868729 PECOS PAC ID: 8325289366 Enrollment ID: I20130802000332 |
| Provider Name | Yashar Moradi Ghomri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861717704 PECOS PAC ID: 5991947939 Enrollment ID: I20130805000248 |
| Provider Name | Melaku T Birhanie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134411879 PECOS PAC ID: 4981846243 Enrollment ID: I20130815000667 |
| Provider Name | William Dechavez Convalecer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699794594 PECOS PAC ID: 5991709669 Enrollment ID: I20130828000859 |
| Provider Name | Rafik Abdou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740594415 PECOS PAC ID: 2264676469 Enrollment ID: I20130909000680 |
| Provider Name | Aram V Davtyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578616553 PECOS PAC ID: 3779752423 Enrollment ID: I20131028000858 |
| Provider Name | Peyman Mesbah Oskui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154610897 PECOS PAC ID: 5597990028 Enrollment ID: I20131108000784 |
| Provider Name | Win Naing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124376488 PECOS PAC ID: 5395971568 Enrollment ID: I20131118000253 |
| Provider Name | Anousheh N Ashouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336305036 PECOS PAC ID: 3274769898 Enrollment ID: I20131203001714 |
| Provider Name | Babar Saeed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093989618 PECOS PAC ID: 2365588340 Enrollment ID: I20140111000317 |
| Provider Name | Danny A Dursun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790005080 PECOS PAC ID: 4688803349 Enrollment ID: I20140129001930 |
| Provider Name | Anil R Date |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972860864 PECOS PAC ID: 4688839582 Enrollment ID: I20140314000939 |
| Provider Name | Leon Moses Bathini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538451588 PECOS PAC ID: 5597994756 Enrollment ID: I20140324001511 |
| Provider Name | Oluyemi O Odunusi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659523934 PECOS PAC ID: 3375776313 Enrollment ID: I20140429000584 |
| Provider Name | Sarah Shirazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952633802 PECOS PAC ID: 7618009259 Enrollment ID: I20140514001930 |
| Provider Name | Vincent P Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396988788 PECOS PAC ID: 1456524842 Enrollment ID: I20140610001877 |
| Provider Name | Karanbir Brar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306191473 PECOS PAC ID: 0941425623 Enrollment ID: I20140714001742 |
| Provider Name | Edmond Kalantar Ohanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093006421 PECOS PAC ID: 1254558448 Enrollment ID: I20140812001622 |
| Provider Name | Alexander C Pi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881993202 PECOS PAC ID: 3870710866 Enrollment ID: I20140814002812 |
| Provider Name | John P Dickey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013203306 PECOS PAC ID: 5890912778 Enrollment ID: I20140818000864 |
| Provider Name | Mohammadreza Samadani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831415652 PECOS PAC ID: 2062630114 Enrollment ID: I20140902001824 |
| Provider Name | Rania Khoukaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902074453 PECOS PAC ID: 5799852745 Enrollment ID: I20140910001926 |
| Provider Name | Quynh Q Dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487949343 PECOS PAC ID: 0446479752 Enrollment ID: I20140919000004 |
| Provider Name | Joshua Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306113360 PECOS PAC ID: 8325260060 Enrollment ID: I20141112001243 |
| Provider Name | Mina Shakiba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427329119 PECOS PAC ID: 3375867500 Enrollment ID: I20150119000005 |
| Provider Name | Jasmin Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023449881 PECOS PAC ID: 6608190442 Enrollment ID: I20150127000010 |
| Provider Name | Apinunt Khemthong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154620722 PECOS PAC ID: 5799000238 Enrollment ID: I20150204002069 |
| Provider Name | Ronald L Reynoso Hernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689893786 PECOS PAC ID: 4880760727 Enrollment ID: I20150214000030 |
| Provider Name | Linda Destefano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881090330 PECOS PAC ID: 3577880806 Enrollment ID: I20150326000873 |
| Provider Name | Sothy L Pheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083697007 PECOS PAC ID: 9638132186 Enrollment ID: I20150424002047 |
| Provider Name | Rhoda Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427317031 PECOS PAC ID: 3173843562 Enrollment ID: I20150527000852 |
| Provider Name | Thinn Thinn Wah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023418878 PECOS PAC ID: 4486966561 Enrollment ID: I20150701002648 |
| Provider Name | Ilya Yakhnenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427317460 PECOS PAC ID: 8820300684 Enrollment ID: I20150708000013 |
| Provider Name | Khin M Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841551405 PECOS PAC ID: 0840513826 Enrollment ID: I20150818004108 |
| Provider Name | Shemi Jalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619235074 PECOS PAC ID: 2567771314 Enrollment ID: I20151019002282 |
| Provider Name | Soelot J Chantachote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659632206 PECOS PAC ID: 8921318874 Enrollment ID: I20151105002032 |
| Provider Name | Matthew Joel Awerbuck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104189828 PECOS PAC ID: 9234439886 Enrollment ID: I20151203001692 |
| Provider Name | Liana Nikoghosyan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578854212 PECOS PAC ID: 5698922458 Enrollment ID: I20160111000928 |
| Provider Name | Mohammadreza Rostami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184026833 PECOS PAC ID: 8729382122 Enrollment ID: I20160204002027 |
| Provider Name | Piyush P. Nayyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467897660 PECOS PAC ID: 3678878949 Enrollment ID: I20160224001470 |
| Provider Name | Zhong S Zhao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821069287 PECOS PAC ID: 0042349813 Enrollment ID: I20160309000552 |
| Provider Name | Aslan Pirouz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770994675 PECOS PAC ID: 2961791645 Enrollment ID: I20160519001122 |
| Provider Name | Ali Ozhand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326481698 PECOS PAC ID: 6507082567 Enrollment ID: I20160628000273 |
| Provider Name | Kanishka Wijegunaratne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669714754 PECOS PAC ID: 5890088660 Enrollment ID: I20160801002691 |
| Provider Name | Julio C Romero |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245620731 PECOS PAC ID: 5092001958 Enrollment ID: I20160901002246 |
| Provider Name | Arman Uzunyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700227162 PECOS PAC ID: 3072835974 Enrollment ID: I20161013001961 |
| Provider Name | Htun N Aung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255775326 PECOS PAC ID: 7113205436 Enrollment ID: I20161020001615 |
| Provider Name | Ololade O Oladimeji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295179141 PECOS PAC ID: 7810275526 Enrollment ID: I20161101001371 |
| Provider Name | Laila Nobakht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730571373 PECOS PAC ID: 4385923705 Enrollment ID: I20161107002667 |
| Provider Name | Ronak Kavian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124467519 PECOS PAC ID: 4385925791 Enrollment ID: I20161223000071 |
| Provider Name | Slamat Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851546121 PECOS PAC ID: 4385823798 Enrollment ID: I20170109002007 |
| Provider Name | Brian Y Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548609241 PECOS PAC ID: 7618251141 Enrollment ID: I20170301002106 |
| Provider Name | Pravin R Date |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871871053 PECOS PAC ID: 3779702311 Enrollment ID: I20170505002019 |
| Provider Name | Erin P Vierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235677881 PECOS PAC ID: 1759658719 Enrollment ID: I20170522002573 |
| Provider Name | Enoch B Lule |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013147107 PECOS PAC ID: 8325218019 Enrollment ID: I20170615002507 |
| Provider Name | Lewis Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699183285 PECOS PAC ID: 0345546529 Enrollment ID: I20170711000737 |
| Provider Name | Benjamin Milgrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962763938 PECOS PAC ID: 5395062426 Enrollment ID: I20170725001701 |
| Provider Name | Elizabeth Morales Bayaras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801335534 PECOS PAC ID: 6709156433 Enrollment ID: I20170727003321 |
| Provider Name | Justine Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104265677 PECOS PAC ID: 4587935283 Enrollment ID: I20170728002400 |
| Provider Name | Muhammad M Buttar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861802720 PECOS PAC ID: 1850614116 Enrollment ID: I20170808002689 |
| Provider Name | Htoo Htoo Aung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942615075 PECOS PAC ID: 7012288012 Enrollment ID: I20170810002043 |
| Provider Name | Fathima Zahra Kamil Faiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972919355 PECOS PAC ID: 3779859509 Enrollment ID: I20171024000738 |
| Provider Name | Prabhu P Gounder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508963893 PECOS PAC ID: 3779687900 Enrollment ID: I20171107000956 |
| Provider Name | David A Antoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043573785 PECOS PAC ID: 9335405968 Enrollment ID: I20171114002221 |
| Provider Name | Erwin Espino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144584392 PECOS PAC ID: 1951625672 Enrollment ID: I20171211002402 |
| Provider Name | Kristina L Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467968560 PECOS PAC ID: 8022379072 Enrollment ID: I20180307002665 |
| Provider Name | Suzette S Mcbrayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871008276 PECOS PAC ID: 8729343157 Enrollment ID: I20180605002233 |
| Provider Name | Jeffrey S Kopstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487041158 PECOS PAC ID: 0446507347 Enrollment ID: I20180724002108 |
| Provider Name | Asim Ruhela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043694987 PECOS PAC ID: 7113216474 Enrollment ID: I20180727002271 |
| Provider Name | Jonathan Stephen Dario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245626613 PECOS PAC ID: 6608188040 Enrollment ID: I20180813002685 |
| Provider Name | Anne Stegall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750889333 PECOS PAC ID: 3577813922 Enrollment ID: I20180905001628 |
| Provider Name | Bakht Sultan Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023451713 PECOS PAC ID: 6305131624 Enrollment ID: I20180920002281 |
| Provider Name | Sandeep Chadha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215318753 PECOS PAC ID: 1759698061 Enrollment ID: I20180925001948 |
| Provider Name | Sonia Sani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033525316 PECOS PAC ID: 3375830961 Enrollment ID: I20181011000782 |
| Provider Name | Hossein Molazadeh-yazdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881829661 PECOS PAC ID: 0244382323 Enrollment ID: I20181015002999 |
| Provider Name | Young In Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669850525 PECOS PAC ID: 3476862830 Enrollment ID: I20190116002840 |
| Provider Name | Sheriff Abudu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770978298 PECOS PAC ID: 3577852664 Enrollment ID: I20190211001136 |
| Provider Name | Neeka Shayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023404365 PECOS PAC ID: 4284975095 Enrollment ID: I20190404000664 |
| Provider Name | Kathryn Schat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841265378 PECOS PAC ID: 7719992551 Enrollment ID: I20190404000676 |
| Provider Name | Jill C Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083722540 PECOS PAC ID: 1052653219 Enrollment ID: I20190508003307 |
| Provider Name | Hassan Barazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972777217 PECOS PAC ID: 4486825080 Enrollment ID: I20190523002849 |
| Provider Name | Linda Vuu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205221355 PECOS PAC ID: 8729313382 Enrollment ID: I20190718001884 |
| Provider Name | Jacqueline Cadaoas Lomibao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811462088 PECOS PAC ID: 0749516342 Enrollment ID: I20190719000299 |
| Provider Name | Nicolas S Mehis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770995466 PECOS PAC ID: 1153647342 Enrollment ID: I20190723002243 |
| Provider Name | Sharon Wesley Dev Sahadevan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184075350 PECOS PAC ID: 7618204215 Enrollment ID: I20190805002707 |
| Provider Name | Elan Mohanty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992158810 PECOS PAC ID: 9638462872 Enrollment ID: I20190815001453 |
| Provider Name | Kioumars Bolourian Kashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851700132 PECOS PAC ID: 5496083438 Enrollment ID: I20190828003491 |
| Provider Name | Ed Marie P Sibal-gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639522477 PECOS PAC ID: 8729316716 Enrollment ID: I20190829001329 |
| Provider Name | Chanchal Yadav |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093900052 PECOS PAC ID: 4082709555 Enrollment ID: I20190906000553 |
| Provider Name | Ajay Moganti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336591817 PECOS PAC ID: 3274863170 Enrollment ID: I20190918003742 |
| Provider Name | Claire M Mccutcheon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689028060 PECOS PAC ID: 1254661341 Enrollment ID: I20191003000549 |
| Provider Name | Novie Gonzales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902250236 PECOS PAC ID: 8022307073 Enrollment ID: I20191008002637 |
| Provider Name | Ceon Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861843682 PECOS PAC ID: 2961738141 Enrollment ID: I20191017002046 |
| Provider Name | Evan Ross Gordon-wollin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548616873 PECOS PAC ID: 9739411778 Enrollment ID: I20191024001941 |
| Provider Name | Sheree Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891140901 PECOS PAC ID: 5395077846 Enrollment ID: I20191101001489 |
| Provider Name | James J Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467816744 PECOS PAC ID: 0648502153 Enrollment ID: I20191104001067 |
| Provider Name | Preetivi Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538471305 PECOS PAC ID: 9032334644 Enrollment ID: I20191204002508 |
| Provider Name | Ashley Lynn Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053961938 PECOS PAC ID: 4880028257 Enrollment ID: I20191218002666 |
| Provider Name | Scott M Lawler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508228115 PECOS PAC ID: 5496049090 Enrollment ID: I20191219001198 |
| Provider Name | Nguyenvy Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508217159 PECOS PAC ID: 9537595566 Enrollment ID: I20200210002762 |
| Provider Name | Soheil Soleymani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902329931 PECOS PAC ID: 0446515746 Enrollment ID: I20200218000953 |
| Provider Name | Jacob Lebeau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518457985 PECOS PAC ID: 2567899172 Enrollment ID: I20200303001266 |
| Provider Name | Khoi M Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043746639 PECOS PAC ID: 6305274960 Enrollment ID: I20200312001561 |
| Provider Name | Tri M Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528599776 PECOS PAC ID: 7416387485 Enrollment ID: I20200415003573 |
| Provider Name | Ruth Pigeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467099283 PECOS PAC ID: 2062833213 Enrollment ID: I20200527000410 |
| Provider Name | Varun Pattisapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053767319 PECOS PAC ID: 0345662433 Enrollment ID: I20200618000659 |
| Provider Name | Daya Raman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700312956 PECOS PAC ID: 3577985621 Enrollment ID: I20200619000252 |
| Provider Name | Michael Iskander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104352608 PECOS PAC ID: 8224450259 Enrollment ID: I20200622000994 |
| Provider Name | Xibei Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437682796 PECOS PAC ID: 6507121787 Enrollment ID: I20200624000779 |
| Provider Name | Manu P Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760748867 PECOS PAC ID: 6709190820 Enrollment ID: I20200720001587 |
| Provider Name | Muhammad Idrees |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720430127 PECOS PAC ID: 3476977315 Enrollment ID: I20200723003625 |
| Provider Name | Reetika Sachdeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740701010 PECOS PAC ID: 5991120180 Enrollment ID: I20200805001216 |
| Provider Name | Kim R West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861748774 PECOS PAC ID: 2567723810 Enrollment ID: I20200806001935 |
| Provider Name | Magdiel R. De La Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669845186 PECOS PAC ID: 1254633399 Enrollment ID: I20200811002408 |
| Provider Name | Devin E Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831543156 PECOS PAC ID: 2365868379 Enrollment ID: I20200820001064 |
| Provider Name | Liza Garabet Diramerian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275054728 PECOS PAC ID: 5395071310 Enrollment ID: I20200915000000 |
| Provider Name | Jesus Rozel Oreta Villanueva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386179281 PECOS PAC ID: 9133154412 Enrollment ID: I20200916003038 |
| Provider Name | Israel I Calcano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467983767 PECOS PAC ID: 0446521496 Enrollment ID: I20201028002994 |
| Provider Name | Ghazal Kooshk Jalali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154843571 PECOS PAC ID: 2466722103 Enrollment ID: I20201028003046 |
| Provider Name | Bhavesh N Ramani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285054635 PECOS PAC ID: 3779859624 Enrollment ID: I20201106001609 |
| Provider Name | Dory Robert Abou Jaoude |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093930513 PECOS PAC ID: 5395818058 Enrollment ID: I20201113001079 |
| Provider Name | Nune Karamyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629462791 PECOS PAC ID: 7719225853 Enrollment ID: I20201113002622 |
| Provider Name | Ellyn M Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972035350 PECOS PAC ID: 8224449335 Enrollment ID: I20201120002543 |
| Provider Name | Joseph A Molina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689195307 PECOS PAC ID: 7810260973 Enrollment ID: I20210126000388 |
| Provider Name | Eve Hyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720094592 PECOS PAC ID: 6002876216 Enrollment ID: I20210318001125 |
| Provider Name | Nathan Robert Kubeldis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598291437 PECOS PAC ID: 3072925197 Enrollment ID: I20210406001989 |
| Provider Name | Alexandra Vartapetova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437715695 PECOS PAC ID: 9032527288 Enrollment ID: I20210428000563 |
| Provider Name | Arianna R Houriani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255828562 PECOS PAC ID: 4284036088 Enrollment ID: I20210716000431 |
| Provider Name | Evyatar Evron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922596501 PECOS PAC ID: 0840693941 Enrollment ID: I20210727003339 |
| Provider Name | Eric X Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003311960 PECOS PAC ID: 1456603604 Enrollment ID: I20210811001030 |
| Provider Name | Noemi Romano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508874173 PECOS PAC ID: 3173515335 Enrollment ID: I20220223001714 |
| Provider Name | Joshua Adam Rushakoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144889817 PECOS PAC ID: 9335536606 Enrollment ID: I20220505001109 |
| Provider Name | Mariam Fazel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073034799 PECOS PAC ID: 1658752118 Enrollment ID: I20220715000980 |
| Provider Name | Rajalakshmi Govalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700445236 PECOS PAC ID: 8921489329 Enrollment ID: I20220716000309 |
| Provider Name | Bahar Parsa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457919086 PECOS PAC ID: 2961883384 Enrollment ID: I20220718000747 |
| Provider Name | Regine Banda Afable |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043703911 PECOS PAC ID: 3779964697 Enrollment ID: I20220722001536 |
| Provider Name | Francis Marlo Collantes Simeon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992369086 PECOS PAC ID: 0446634588 Enrollment ID: I20220908002036 |
| Provider Name | Humera Syeda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932669215 PECOS PAC ID: 2163808031 Enrollment ID: I20220929001494 |
| Provider Name | Neil D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295387967 PECOS PAC ID: 9638545452 Enrollment ID: I20221019003081 |
| Provider Name | Elizabeth Preethi Pandian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518522341 PECOS PAC ID: 7517354533 Enrollment ID: I20221024002422 |
| Provider Name | Daniel Benhuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003304189 PECOS PAC ID: 1254678907 Enrollment ID: I20230106001807 |
| Provider Name | Ishan Sunil Naik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457980500 PECOS PAC ID: 5395155956 Enrollment ID: I20231102001156 |
| Provider Name | Liane Zwetzich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346869955 PECOS PAC ID: 6800241258 Enrollment ID: I20240105001996 |
| Provider Name | Pooja Nagesh Gidwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881004398 PECOS PAC ID: 9335417989 Enrollment ID: I20240424002906 |
Men's Health Foundation 8280 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8280 Santa Monica Blvd, West Hollywood, CA 90046 Phone: 424-245-3486 | |
Yours N Ours Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8733 Beverly Blvd Ste 201, West Hollywood, CA 90048 Phone: 310-477-8400 | |
Kavya H Manu Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-3277 Fax: 661-878-8551 | |
Vitalize Natural Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 N La Cienega Blvd Ste 207, West Hollywood, CA 90069 Phone: 323-524-5859 | |
Carragher Osteopathic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7235 Santa Monica Blvd, West Hollywood, CA 90046 Phone: 323-874-9355 Fax: 323-874-9357 | |
Dr. Ray Dong Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 872 Huntley Dr, West Hollywood, CA 90069 Phone: 424-402-9609 |