| Rhonda Luster Md A Medical Corporation | |
|
8540 S Sepulveda Blvd Ste 820 Los Angeles CA 90045-3808 | |
| (904) 643-4353 | |
| (904) 643-4353 |
| Full Name | Rhonda Luster Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 8540 S Sepulveda Blvd Ste 820, Los Angeles, California |
| Authorized Official Name and Position | Rhonda Luster (CEO) |
| Authorized Official Contact | 3107210362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhonda Luster Md A Medical Corporation Po Box 32854 Belfast ME 04915-0606 Ph: (904) 643-4353 | Rhonda Luster Md A Medical Corporation 8540 S Sepulveda Blvd Ste 820 Los Angeles CA 90045-3808 Ph: (904) 643-4353 |
| NPI Number | 1841918026 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 08/15/2022 |
| Medicare PECOS PAC ID | 7719361997 |
|---|---|
| Medicare Enrollment ID | O20220907003185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841918026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rhonda R Luster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255338406 PECOS PAC ID: 7618867375 Enrollment ID: I20040317000271 |
| Provider Name | Franklin G Millin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194724492 PECOS PAC ID: 5395729040 Enrollment ID: I20040617001667 |
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