Susan Pekarovics Md A Professional Corporation | |
6360 Wilshire Blvd Suite 202 Los Angeles CA 90048-5603 | |
(323) 951-4916 | |
(323) 951-4717 |
Full Name | Susan Pekarovics Md A Professional Corporation |
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Speciality | Internal Medicine |
Location | 6360 Wilshire Blvd, Los Angeles, California |
Authorized Official Name and Position | Susan Pekarovics (PRESIDENT) |
Authorized Official Contact | 3239514916 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Susan Pekarovics Md A Professional Corporation 6360 Wilshire Blvd Suite 202 Los Angeles CA 90048-5603 Ph: (323) 951-4916 | Susan Pekarovics Md A Professional Corporation 6360 Wilshire Blvd Suite 202 Los Angeles CA 90048-5603 Ph: (323) 951-4916 |
NPI Number | 1235430505 |
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Provider Enumeration Date | 11/03/2010 |
Last Update Date | 06/09/2012 |
Medicare PECOS PAC ID | 9638355738 |
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Medicare Enrollment ID | O20110525000071 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235430505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A56360 (California) | Primary |
Provider Name | Susan Pekarovics |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154350320 PECOS PAC ID: 3375550999 Enrollment ID: I20060307000455 |
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