| Shivanand R Pole Md Inc | |
|
3851 Katella Avenue 305 Los Alamitos CA 90720-3915 | |
| (562) 246-6061 | |
| (562) 430-8600 |
| Full Name | Shivanand R Pole Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3851 Katella Avenue, Los Alamitos, California |
| Authorized Official Name and Position | Shivanand Rao Pole (PRESIDENT) |
| Authorized Official Contact | 5622466061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shivanand R Pole Md Inc 3851 Katella Avenue 305 Los Alamitos CA 90720-3915 Ph: (562) 246-6061 | Shivanand R Pole Md Inc 3851 Katella Avenue 305 Los Alamitos CA 90720-3915 Ph: (562) 246-6061 |
| NPI Number | 1598042178 |
|---|---|
| Provider Enumeration Date | 11/09/2011 |
| Last Update Date | 10/09/2015 |
| Medicare PECOS PAC ID | 0840537338 |
|---|---|
| Medicare Enrollment ID | O20190122002019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598042178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A101547 (California) | Primary |
| 261Q00000X | Clinic/center | A101547 (California) | Secondary |
| Provider Name | Shivanand R Pole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477737369 PECOS PAC ID: 4284795964 Enrollment ID: I20081213000082 |
Ghulam Y Dostzada Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5300 Katella Ave, Los Alamitos, CA 90720 Phone: 562-799-0383 | |
Charles M Maples Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3771 Katella Ave, Suite 110, Los Alamitos, CA 90720 Phone: 562-430-6850 Fax: 562-280-2882 | |
Socal Gastroenterology Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10931 Cherry St Ste 300, Los Alamitos, CA 90720 Phone: 562-493-1011 Fax: 562-594-9226 | |
Prohealth Partners, A Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3791 Katella Ave Ste 101, Los Alamitos, CA 90720 Phone: 562-446-0580 | |
Alexandra A Chrysanthis M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10861 Cherry St # 210, Los Alamitos, CA 90720 Phone: 562-795-6406 Fax: 562-795-6409 | |
Cancer And Blood Specialty Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3851 Katella Ave, Suite 125, Los Alamitos, CA 90720 Phone: 562-735-0602 Fax: 562-490-8590 | |
T.h. Choi, A Medical Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3771 Katella Ave, Suite 300, Los Alamitos, CA 90720 Phone: 562-430-7533 Fax: 425-928-4044 |