| Renuka Boyapalli M D A Medical Corporation | |
|
3640 Lomita Blvd Ste 305 Torrance CA 90505-3959 | |
| (310) 373-0250 | |
| (310) 373-0256 |
| Full Name | Renuka Boyapalli M D A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 3640 Lomita Blvd Ste 305, Torrance, California |
| Authorized Official Name and Position | Renuka R Boyapalli (PRESIDENT) |
| Authorized Official Contact | 3103730250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renuka Boyapalli M D A Medical Corporation 3640 Lomita Blvd Ste 305 Torrance CA 90505-3959 Ph: (310) 373-0250 | Renuka Boyapalli M D A Medical Corporation 3640 Lomita Blvd Ste 305 Torrance CA 90505-3959 Ph: (310) 373-0250 |
| NPI Number | 1124298856 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 11/17/2022 |
| Medicare PECOS PAC ID | 3072690759 |
|---|---|
| Medicare Enrollment ID | O20080404000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124298856 | NPI | - | NPPES |
| 00A560360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A56036 (California) | Primary |
| Provider Name | Renuka R Boyapalli |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558399311 PECOS PAC ID: 7810931839 Enrollment ID: I20050610000481 |
| Provider Name | Sheri Lee Weitz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447525126 PECOS PAC ID: 2163670332 Enrollment ID: I20120912000664 |
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