| Superior Hospitalist Medical Group Inc | |
|
1680 E 120th St Los Angeles CA 90059-3026 | |
| (330) 493-4443 | |
| Not Available |
| Full Name | Superior Hospitalist Medical Group Inc |
|---|---|
| Speciality | Hospitalist |
| Location | 1680 E 120th St, Los Angeles, California |
| Authorized Official Name and Position | Steven Maron (PHYSICIAN) |
| Authorized Official Contact | 9252555837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Hospitalist Medical Group Inc 4535 Dressler Rd Nw Canton OH 44718-2545 Ph: (330) 493-4443 | Superior Hospitalist Medical Group Inc 1680 E 120th St Los Angeles CA 90059-3026 Ph: (330) 493-4443 |
| NPI Number | 1780047712 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 06/24/2021 |
| Medicare PECOS PAC ID | 1456650928 |
|---|---|
| Medicare Enrollment ID | O20160504002343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780047712 | NPI | - | NPPES |
| 1780047712 | Medicaid | CA |
| Provider Name | Richard Lapin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598784969 PECOS PAC ID: 1456322254 Enrollment ID: I20040804001371 |
| Provider Name | Hassan Sheikho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982620829 PECOS PAC ID: 1850349002 Enrollment ID: I20050105000224 |
| Provider Name | Anthony C Enenmoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811931603 PECOS PAC ID: 5799721379 Enrollment ID: I20050705000983 |
| Provider Name | Elham Ghadishah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174546071 PECOS PAC ID: 2567492119 Enrollment ID: I20050815000271 |
| Provider Name | Fred Javdan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669575106 PECOS PAC ID: 0345258075 Enrollment ID: I20060327000264 |
| Provider Name | Qazi Muhammad Muzaffar Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467487280 PECOS PAC ID: 5698784122 Enrollment ID: I20060411000840 |
| Provider Name | Ron K Brathwaite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528086246 PECOS PAC ID: 6406859875 Enrollment ID: I20060824000586 |
| Provider Name | Jack Geoula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821006263 PECOS PAC ID: 3971507146 Enrollment ID: I20060830000177 |
| Provider Name | Truong Dang Quach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346358223 PECOS PAC ID: 7517962160 Enrollment ID: I20061003000601 |
| Provider Name | Wanes Barsemian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063414027 PECOS PAC ID: 0941102701 Enrollment ID: I20070522000471 |
| Provider Name | Amar A Kadakia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649386210 PECOS PAC ID: 2567555139 Enrollment ID: I20070912000746 |
| Provider Name | Mark G Talavera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104991090 PECOS PAC ID: 3577652619 Enrollment ID: I20071127000820 |
| Provider Name | Nicole Schneider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326239237 PECOS PAC ID: 7719048370 Enrollment ID: I20081202000308 |
| Provider Name | Daa M Xiao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184679276 PECOS PAC ID: 5991708109 Enrollment ID: I20081222000274 |
| Provider Name | Sarah M Lee Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205028651 PECOS PAC ID: 0446309348 Enrollment ID: I20090526000378 |
| Provider Name | Lawrence R Burchett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619159639 PECOS PAC ID: 3072665322 Enrollment ID: I20090716000521 |
| Provider Name | Deepti H Chandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093839532 PECOS PAC ID: 9638216336 Enrollment ID: I20091029000362 |
| Provider Name | Linda Sharp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366634727 PECOS PAC ID: 6103969837 Enrollment ID: I20100203000722 |
| Provider Name | Mozhgan Ashtari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558691451 PECOS PAC ID: 8224152764 Enrollment ID: I20100903000906 |
| Provider Name | Mark Mcdowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912165788 PECOS PAC ID: 1254528649 Enrollment ID: I20101210000780 |
| Provider Name | Umer F Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669626941 PECOS PAC ID: 0648450858 Enrollment ID: I20110204000653 |
| Provider Name | Godwin Ugwueze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609990134 PECOS PAC ID: 5395840714 Enrollment ID: I20110222001196 |
| Provider Name | Efrain Talamantes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063688802 PECOS PAC ID: 5890972772 Enrollment ID: I20110601000410 |
| Provider Name | Ye K Aung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720241904 PECOS PAC ID: 9032387998 Enrollment ID: I20110719000866 |
| Provider Name | Nidhi Nikhanj |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275589285 PECOS PAC ID: 9032115738 Enrollment ID: I20110808000504 |
| Provider Name | Ameer Fathy Moussa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942436225 PECOS PAC ID: 4587835913 Enrollment ID: I20110915000433 |
| Provider Name | Carla A Toms |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730258336 PECOS PAC ID: 3678744661 Enrollment ID: I20110923000129 |
| Provider Name | Mehdi Shahpoury Arani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790947471 PECOS PAC ID: 5799967667 Enrollment ID: I20111004000344 |
| Provider Name | Olumide Akingbemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841510385 PECOS PAC ID: 4082886304 Enrollment ID: I20111011000274 |
| Provider Name | Michael B Azarkh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790958452 PECOS PAC ID: 8123290111 Enrollment ID: I20111208000555 |
| Provider Name | Anthony F Arredondo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164689972 PECOS PAC ID: 8921274994 Enrollment ID: I20111222000510 |
| Provider Name | Sameh W Ghattas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801043286 PECOS PAC ID: 6608042460 Enrollment ID: I20111228000163 |
| Provider Name | Tess Ventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669782280 PECOS PAC ID: 1052574779 Enrollment ID: I20120516000599 |
| Provider Name | Daniel J Turner-lloveras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457585697 PECOS PAC ID: 7315196631 Enrollment ID: I20121002000399 |
| Provider Name | Santhosh B Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134362676 PECOS PAC ID: 5698924777 Enrollment ID: I20121004000670 |
| Provider Name | Vikas Punjabi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780874313 PECOS PAC ID: 3476677675 Enrollment ID: I20121127000203 |
| Provider Name | Khristine M Papa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073741799 PECOS PAC ID: 1254583115 Enrollment ID: I20121129000222 |
| 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 | Ghazaleh Bahrami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083881841 PECOS PAC ID: 7214180413 Enrollment ID: I20130122000481 |
| Provider Name | Houman D Danesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205027802 PECOS PAC ID: 2860573300 Enrollment ID: I20130603000224 |
| Provider Name | Reza Bashtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285868729 PECOS PAC ID: 8325289366 Enrollment ID: I20130802000332 |
| Provider Name | Mariam Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851604847 PECOS PAC ID: 7517109127 Enrollment ID: I20130812000306 |
| Provider Name | Robert M Matz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558503086 PECOS PAC ID: 3870735061 Enrollment ID: I20130819000409 |
| Provider Name | Baljinder S Sidhu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558501064 PECOS PAC ID: 0042483521 Enrollment ID: I20131025000511 |
| Provider Name | Sina Dadfarmay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083809966 PECOS PAC ID: 6305961152 Enrollment ID: I20131107001264 |
| Provider Name | Miriam U Anemelu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669712980 PECOS PAC ID: 8022243518 Enrollment ID: I20131111000169 |
| Provider Name | Ritu Jain Viswanath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497029078 PECOS PAC ID: 0446486906 Enrollment ID: I20131112001003 |
| Provider Name | Anousheh N Ashouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336305036 PECOS PAC ID: 3274769898 Enrollment ID: I20131203001714 |
| Provider Name | Christine I Bishop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194959049 PECOS PAC ID: 2860629318 Enrollment ID: I20131209001023 |
| Provider Name | Zakiat Nur-darojat Jalilvand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548532658 PECOS PAC ID: 7315184058 Enrollment ID: I20140206001665 |
| Provider Name | Victor Hugo Delgado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619303310 PECOS PAC ID: 7012131600 Enrollment ID: I20140623001353 |
| Provider Name | Olusegun Adetuyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417275033 PECOS PAC ID: 2961641576 Enrollment ID: I20140626002537 |
| Provider Name | Jigar Sharad Kadakia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144502618 PECOS PAC ID: 2668608621 Enrollment ID: I20140701002648 |
| Provider Name | Antonio Bonet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134386956 PECOS PAC ID: 3577788710 Enrollment ID: I20140702001567 |
| Provider Name | Mary K Moreno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033420252 PECOS PAC ID: 4486882057 Enrollment ID: I20140723001295 |
| Provider Name | Atul K Munjal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023240579 PECOS PAC ID: 1052435468 Enrollment ID: I20140929002078 |
| Provider Name | Neal Godwin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780963777 PECOS PAC ID: 8729209499 Enrollment ID: I20141021002656 |
| Provider Name | Laura Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750638102 PECOS PAC ID: 6608198007 Enrollment ID: I20141212001233 |
| Provider Name | Elizabeth S Wasson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679755045 PECOS PAC ID: 5991847667 Enrollment ID: I20150126001322 |
| Provider Name | John Sungwon Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497041883 PECOS PAC ID: 5698995421 Enrollment ID: I20150422001173 |
| Provider Name | Robert J Preston |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538336581 PECOS PAC ID: 5991864142 Enrollment ID: I20150507000935 |
| Provider Name | Kitae Kevin Park |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437335361 PECOS PAC ID: 0143351999 Enrollment ID: I20150717002519 |
| Provider Name | Carlos Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578815213 PECOS PAC ID: 2769795566 Enrollment ID: I20150722006558 |
| Provider Name | Sameer Bajaj |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497842397 PECOS PAC ID: 1254338437 Enrollment ID: I20150813012586 |
| Provider Name | Santa Kerzuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801157235 PECOS PAC ID: 8325354830 Enrollment ID: I20150828001818 |
| Provider Name | Uzoma Raymond Chukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255741567 PECOS PAC ID: 7911216940 Enrollment ID: I20151014001319 |
| Provider Name | Boris Arutyunov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144562703 PECOS PAC ID: 0749599405 Enrollment ID: I20151020000742 |
| Provider Name | Violeta Miller Recalde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306197611 PECOS PAC ID: 3870801152 Enrollment ID: I20151201002598 |
| Provider Name | Caleb G Hsieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760725550 PECOS PAC ID: 8729388111 Enrollment ID: I20151208002308 |
| Provider Name | Jiandong Wei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063788222 PECOS PAC ID: 6305152653 Enrollment ID: I20151208003219 |
| Provider Name | Idoroenyi Amanam |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1205257920 PECOS PAC ID: 3678874674 Enrollment ID: I20151216001919 |
| Provider Name | Sarat J Varghese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104261106 PECOS PAC ID: 7719121805 Enrollment ID: I20160212002121 |
| Provider Name | Stefan E Richter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538480686 PECOS PAC ID: 9234379991 Enrollment ID: I20160222001796 |
| Provider Name | Jason Evan Prasso |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033435953 PECOS PAC ID: 7416199278 Enrollment ID: I20160513000483 |
| Provider Name | Veronica Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619311669 PECOS PAC ID: 0547570947 Enrollment ID: I20160531001060 |
| Provider Name | Ashenafi A Legesse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992149231 PECOS PAC ID: 5496049116 Enrollment ID: I20160803001740 |
| Provider Name | Juan M Cabrales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316380769 PECOS PAC ID: 8921392085 Enrollment ID: I20160811002329 |
| Provider Name | Mary Zhitnikova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407114796 PECOS PAC ID: 7113227331 Enrollment ID: I20161017000818 |
| Provider Name | Huda S Khaleel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386907509 PECOS PAC ID: 4587944806 Enrollment ID: I20161202001086 |
| Provider Name | Anthony C Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770929374 PECOS PAC ID: 5698917599 Enrollment ID: I20161214000944 |
| Provider Name | Christina M Cherneff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235671579 PECOS PAC ID: 8022391655 Enrollment ID: I20170206002003 |
| Provider Name | Asongu J Ncho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689612897 PECOS PAC ID: 3779523808 Enrollment ID: I20170309002638 |
| Provider Name | Abigail E Maller |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1013277102 PECOS PAC ID: 5597040329 Enrollment ID: I20170317001586 |
| Provider Name | Talayeh Rezayat |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841511409 PECOS PAC ID: 4183870207 Enrollment ID: I20170605002516 |
| Provider Name | Vignesh Raghunath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639580475 PECOS PAC ID: 6800164542 Enrollment ID: I20170621000793 |
| Provider Name | Manraj Khosla |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1518371194 PECOS PAC ID: 2466720164 Enrollment ID: I20170621003113 |
| Provider Name | Catalin Nicola |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558519470 PECOS PAC ID: 7315188133 Enrollment ID: I20170622001191 |
| Provider Name | Tehniyat Shorish |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942615521 PECOS PAC ID: 8426327867 Enrollment ID: I20170628002788 |
| Provider Name | Somil Viradia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881008662 PECOS PAC ID: 1951670058 Enrollment ID: I20170705003005 |
| Provider Name | Anna Melkonyan Lafian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700206182 PECOS PAC ID: 7517236284 Enrollment ID: I20170712001417 |
| Provider Name | Alexander Chuong Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265842470 PECOS PAC ID: 7315216017 Enrollment ID: I20170712002310 |
| Provider Name | Adan De Jesus Romero Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033520002 PECOS PAC ID: 2062708233 Enrollment ID: I20170821001353 |
| Provider Name | Sabine Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831515659 PECOS PAC ID: 9830462159 Enrollment ID: I20170908001700 |
| Provider Name | Pamela Tsing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669890737 PECOS PAC ID: 1052678497 Enrollment ID: I20171120003064 |
| Provider Name | Simon Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316297815 PECOS PAC ID: 8224396411 Enrollment ID: I20171215002410 |
| Provider Name | Naman Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194107540 PECOS PAC ID: 5698054245 Enrollment ID: I20180104001871 |
| Provider Name | Basak Julia Kanlilar-ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477066132 PECOS PAC ID: 1355601378 Enrollment ID: I20180212001040 |
| Provider Name | Yaser Fathi Kawar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811289911 PECOS PAC ID: 0749412591 Enrollment ID: I20180219002436 |
| Provider Name | Anum Hamiduzzaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649681495 PECOS PAC ID: 1052673316 Enrollment ID: I20180326001858 |
| Provider Name | Meelad Mohammadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215303482 PECOS PAC ID: 6507166576 Enrollment ID: I20180618002603 |
| Provider Name | Sheryl Laurissa Recinos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629483417 PECOS PAC ID: 0547518599 Enrollment ID: I20180807002924 |
| Provider Name | Krupa Gandhi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538555792 PECOS PAC ID: 1951604370 Enrollment ID: I20180918004178 |
| Provider Name | Dennis Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538556592 PECOS PAC ID: 1456602028 Enrollment ID: I20180920000704 |
| Provider Name | Mindy E Tittiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023350501 PECOS PAC ID: 1456661008 Enrollment ID: I20181010000878 |
| Provider Name | Priscilla J Madison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073091013 PECOS PAC ID: 8224382148 Enrollment ID: I20181113001106 |
| Provider Name | Rami Horani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225340227 PECOS PAC ID: 3577798503 Enrollment ID: I20190104002886 |
| Provider Name | Lay L Khin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841475019 PECOS PAC ID: 4183786874 Enrollment ID: I20190222000853 |
| Provider Name | Victor Fayad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164654604 PECOS PAC ID: 0749422368 Enrollment ID: I20190412001961 |
| Provider Name | Fabiola Ochoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568826956 PECOS PAC ID: 9830432418 Enrollment ID: I20190522002398 |
| Provider Name | Margaret Wei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629426077 PECOS PAC ID: 1355674425 Enrollment ID: I20190604001678 |
| Provider Name | Diana W Zhao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295199768 PECOS PAC ID: 0648503748 Enrollment ID: I20190604003015 |
| Provider Name | Wali Abawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104362268 PECOS PAC ID: 7911230925 Enrollment ID: I20190606001069 |
| Provider Name | Holly Dieu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184155285 PECOS PAC ID: 5597090506 Enrollment ID: I20190712002650 |
| Provider Name | Emma Caroline Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902268394 PECOS PAC ID: 7911294988 Enrollment ID: I20190813003118 |
| Provider Name | Shing L Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871948828 PECOS PAC ID: 0244560761 Enrollment ID: I20190926001380 |
| Provider Name | Pratima Subedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013370048 PECOS PAC ID: 4486985041 Enrollment ID: I20191011001842 |
| Provider Name | Sheree Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891140901 PECOS PAC ID: 5395077846 Enrollment ID: I20191101001489 |
| Provider Name | Wilson E Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326496167 PECOS PAC ID: 5890078174 Enrollment ID: I20191104001635 |
| Provider Name | Lin Deng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083077697 PECOS PAC ID: 5193019214 Enrollment ID: I20191115000216 |
| Provider Name | Sanam M Pournaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447607551 PECOS PAC ID: 5991099889 Enrollment ID: I20191204000323 |
| Provider Name | Christine Ndjee-batamack |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093901449 PECOS PAC ID: 9234285230 Enrollment ID: I20191212002721 |
| Provider Name | Raed A Wahab |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285841437 PECOS PAC ID: 7214000504 Enrollment ID: I20191217002890 |
| Provider Name | Olympia A Kabobel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003342023 PECOS PAC ID: 2567897895 Enrollment ID: I20200115000977 |
| Provider Name | Temitope A Olatunji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154716223 PECOS PAC ID: 7911298997 Enrollment ID: I20200204001198 |
| Provider Name | Joon Y Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629519889 PECOS PAC ID: 2961830237 Enrollment ID: I20200403002462 |
| Provider Name | Alain D Broulard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134691215 PECOS PAC ID: 8921438185 Enrollment ID: I20200501000001 |
| Provider Name | Alaa Hajal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669829032 PECOS PAC ID: 2769775352 Enrollment ID: I20200528000739 |
| Provider Name | Audrey J Shi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376084798 PECOS PAC ID: 2769804988 Enrollment ID: I20200617000259 |
| Provider Name | Michael Iskander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104352608 PECOS PAC ID: 8224450259 Enrollment ID: I20200622000994 |
| Provider Name | Paulyne Therese Sajo Jardeleza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912549700 PECOS PAC ID: 7214351113 Enrollment ID: I20200724001757 |
| Provider Name | Zarina Khabibulina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639732258 PECOS PAC ID: 3375968852 Enrollment ID: I20200730002611 |
| Provider Name | Maksim Yuryevich Khayznikov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659704963 PECOS PAC ID: 0648565754 Enrollment ID: I20200805003256 |
| Provider Name | Lord L Addo-yirenkyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588140008 PECOS PAC ID: 3678999109 Enrollment ID: I20200814001115 |
| Provider Name | Mohamad Abdelfattah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134539711 PECOS PAC ID: 2769737626 Enrollment ID: I20200819000338 |
| Provider Name | Nico T Conti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538690870 PECOS PAC ID: 9234407800 Enrollment ID: I20200828002493 |
| Provider Name | Edward Cardenas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801327630 PECOS PAC ID: 6901238351 Enrollment ID: I20200831003051 |
| Provider Name | Edward Michael Speltie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558881482 PECOS PAC ID: 5496172538 Enrollment ID: I20200903000987 |
| Provider Name | Mahyar Afrooz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477085173 PECOS PAC ID: 2769894773 Enrollment ID: I20201216001680 |
| Provider Name | Michael Makram Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528565157 PECOS PAC ID: 6002223351 Enrollment ID: I20210401002152 |
| Provider Name | Binay Chacko Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255591228 PECOS PAC ID: 8820280084 Enrollment ID: I20210713001630 |
| Provider Name | Jay Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467834044 PECOS PAC ID: 7416282934 Enrollment ID: I20210721004166 |
| Provider Name | Ray Sunjed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164915625 PECOS PAC ID: 5496158586 Enrollment ID: I20210727002890 |
| Provider Name | Yao Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033613690 PECOS PAC ID: 6406264241 Enrollment ID: I20210804002420 |
| Provider Name | Tiffany Maggi-maidinett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962951277 PECOS PAC ID: 6305240607 Enrollment ID: I20210809003017 |
| Provider Name | Aws Al Jandeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629566526 PECOS PAC ID: 4587904669 Enrollment ID: I20210827001810 |
| Provider Name | Sankha Banerjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265939169 PECOS PAC ID: 0840548558 Enrollment ID: I20210910002327 |
| Provider Name | Erika-lizett T Wilkins Y Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235627340 PECOS PAC ID: 3971900119 Enrollment ID: I20210930001340 |
| Provider Name | Saurabh Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538573068 PECOS PAC ID: 3678846235 Enrollment ID: I20211028002877 |
| Provider Name | Virginia Adesola Adewole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639512239 PECOS PAC ID: 1052705738 Enrollment ID: I20220222002313 |
| Provider Name | Elsa V Zecena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649940255 PECOS PAC ID: 2466846746 Enrollment ID: I20220302002173 |
| Provider Name | Christian G Caceres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255787628 PECOS PAC ID: 6002194701 Enrollment ID: I20220419001990 |
| Provider Name | William S Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649777616 PECOS PAC ID: 1355728841 Enrollment ID: I20220523002527 |
| Provider Name | Ryan Shilian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598144032 PECOS PAC ID: 5193073807 Enrollment ID: I20220612000005 |
| Provider Name | Renee Rao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013477330 PECOS PAC ID: 9931592052 Enrollment ID: I20220628002798 |
| Provider Name | Christina Tran Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750842977 PECOS PAC ID: 7517347180 Enrollment ID: I20220629002479 |
| Provider Name | Mandakini Mohindra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083270656 PECOS PAC ID: 5294115879 Enrollment ID: I20220629003091 |
| Provider Name | David Joseph Panek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932669421 PECOS PAC ID: 4981021664 Enrollment ID: I20220707000691 |
| Provider Name | Zhuo Qian Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780243774 PECOS PAC ID: 1153724224 Enrollment ID: I20220815003302 |
| Provider Name | Humera Syeda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932669215 PECOS PAC ID: 2163808031 Enrollment ID: I20220929001494 |
| Provider Name | Sarah H Youkhana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275093924 PECOS PAC ID: 8022484930 Enrollment ID: I20221018002100 |
| Provider Name | Vahe Mkhitaryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689137838 PECOS PAC ID: 6608242490 Enrollment ID: I20221019002022 |
| Provider Name | Neil D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295387967 PECOS PAC ID: 9638545452 Enrollment ID: I20221019003081 |
| Provider Name | Varun Badami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801342134 PECOS PAC ID: 7810284155 Enrollment ID: I20221103003228 |
| Provider Name | Swetha Gogineni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821450057 PECOS PAC ID: 0749572493 Enrollment ID: I20221207002103 |
| Provider Name | Madison K Varisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093391807 PECOS PAC ID: 4284042078 Enrollment ID: I20221230000228 |
| Provider Name | Angela O Aboutalib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215248984 PECOS PAC ID: 6406082858 Enrollment ID: I20230125001583 |
| Provider Name | Paula Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588223044 PECOS PAC ID: 3678938156 Enrollment ID: I20230505001762 |
| Provider Name | Stephen Ralph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780180711 PECOS PAC ID: 2769736784 Enrollment ID: I20230530001124 |
| Provider Name | Prithi Choday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013536028 PECOS PAC ID: 7517325103 Enrollment ID: I20230613003426 |
| Provider Name | Heather Maoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033738539 PECOS PAC ID: 9436517927 Enrollment ID: I20230614004049 |
| Provider Name | Ari Ucar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689203531 PECOS PAC ID: 5890153399 Enrollment ID: I20230615000204 |
| Provider Name | Hasan Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861013153 PECOS PAC ID: 3678932118 Enrollment ID: I20230630002856 |
| Provider Name | Shipra Saigal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154940138 PECOS PAC ID: 2567822489 Enrollment ID: I20230724001908 |
| Provider Name | Darius M Billingsley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861961682 PECOS PAC ID: 9739583915 Enrollment ID: I20230825002506 |
| Provider Name | Daniel J Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093007221 PECOS PAC ID: 1658511407 Enrollment ID: I20230914001396 |
| Provider Name | Alma Martini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487282927 PECOS PAC ID: 5395185474 Enrollment ID: I20240507000768 |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
Clinica Virgen De Guadalupe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037 Phone: 323-234-6300 | |
Ssg San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Medical Group Eapc Prop 99 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |
Apla Health & Wellness - David Geffen Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 |