Ucla Entertainment Ind Medgrp | |
1000 Flower St Glendale CA 91201-3007 | |
(818) 659-5000 | |
Not Available |
Full Name | Ucla Entertainment Ind Medgrp |
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Speciality | Internal Medicine |
Location | 1000 Flower St, Glendale, California |
Authorized Official Name and Position | Kathie Hale (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3103015311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ucla Entertainment Ind Medgrp 5767 W Century Blvd Suite 400 Los Angeles CA 90045-5631 Ph: (310) 301-8708 | Ucla Entertainment Ind Medgrp 1000 Flower St Glendale CA 91201-3007 Ph: (818) 659-5000 |
NPI Number | 1891110888 |
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Provider Enumeration Date | 02/27/2014 |
Last Update Date | 11/19/2020 |
Medicare PECOS PAC ID | 5294958815 |
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Medicare Enrollment ID | O20140528001538 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891110888 | NPI | - | NPPES |
Provider Name | Steven M Cohen |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639268253 PECOS PAC ID: 7719890540 Enrollment ID: I20031107000619 |
Provider Name | Silvia Darie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104827989 PECOS PAC ID: 9032007323 Enrollment ID: I20040308001454 |
Provider Name | Shirley X Xu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790791945 PECOS PAC ID: 7416848239 Enrollment ID: I20040322001671 |
Provider Name | Claudine L Armand |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902909294 PECOS PAC ID: 5991794828 Enrollment ID: I20040506001812 |
Provider Name | Suzanne Yoon Homer |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1194767582 PECOS PAC ID: 1759367162 Enrollment ID: I20040626000207 |
Provider Name | Giovinetza Hasbun |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255353496 PECOS PAC ID: 0749250447 Enrollment ID: I20040729000905 |
Provider Name | Ronald Homer |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1316982614 PECOS PAC ID: 8022077429 Enrollment ID: I20041008001409 |
Provider Name | Cheryl H Hoffman |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528040508 PECOS PAC ID: 7012811946 Enrollment ID: I20041118000444 |
Provider Name | Stefan G Ruehm |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1669416632 PECOS PAC ID: 6901850411 Enrollment ID: I20050308000846 |
Provider Name | Timothy C Bullard |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1306801766 PECOS PAC ID: 2466491493 Enrollment ID: I20050428001239 |
Provider Name | Anne C Hoyt |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1740230291 PECOS PAC ID: 7810960499 Enrollment ID: I20050526000501 |
Provider Name | Keith S Garb |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740381177 PECOS PAC ID: 5597709428 Enrollment ID: I20050613000468 |
Provider Name | Richard T Kaplan |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1265462980 PECOS PAC ID: 9638105844 Enrollment ID: I20050711000393 |
Provider Name | Keiko Tochikura |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417242389 PECOS PAC ID: 2466354998 Enrollment ID: I20050713000650 |
Provider Name | Noriko Salamon |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558397430 PECOS PAC ID: 9739113473 Enrollment ID: I20050922000578 |
Provider Name | Thomas E Hascall |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245315324 PECOS PAC ID: 3870511447 Enrollment ID: I20051102001176 |
Provider Name | Dieter R Enzmann |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1598723801 PECOS PAC ID: 3577467810 Enrollment ID: I20051110000478 |
Provider Name | Denise R Aberle |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1053361501 PECOS PAC ID: 1153349899 Enrollment ID: I20051110000625 |
Provider Name | David S Lu |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1073542668 PECOS PAC ID: 8426076100 Enrollment ID: I20051110000913 |
Provider Name | Steven S Raman |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1114956745 PECOS PAC ID: 6204854987 Enrollment ID: I20051110000949 |
Provider Name | Kambiz Motamedi |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1912956681 PECOS PAC ID: 4082632765 Enrollment ID: I20051110000968 |
Provider Name | Jonathan G Goldin |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1477502144 PECOS PAC ID: 9436177110 Enrollment ID: I20051110000986 |
Provider Name | Whitney B Pope |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1295763761 PECOS PAC ID: 2062430754 Enrollment ID: I20051110001002 |
Provider Name | John P Finn |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1619054533 PECOS PAC ID: 5698793388 Enrollment ID: I20051110001006 |
Provider Name | Marjan Banooni |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518983063 PECOS PAC ID: 5698794196 Enrollment ID: I20051114001087 |
Provider Name | Juan P Villablanca |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1073564407 PECOS PAC ID: 6406876226 Enrollment ID: I20051122000889 |
Provider Name | Stephen Axelrode |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871694398 PECOS PAC ID: 1557381209 Enrollment ID: I20051128000320 |
Provider Name | Edward J Zaragoza |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518995141 PECOS PAC ID: 0244250546 Enrollment ID: I20051201000494 |
Provider Name | Antoinette S Gomes |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1013953835 PECOS PAC ID: 2365463460 Enrollment ID: I20051216000531 |
Provider Name | Justin P Mcwilliams |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1437292331 PECOS PAC ID: 2466466081 Enrollment ID: I20060202000413 |
Provider Name | Chingkai Lin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477612075 PECOS PAC ID: 7618982901 Enrollment ID: I20060207000939 |
Provider Name | Satoshi Tateshima |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1922042068 PECOS PAC ID: 1658389226 Enrollment ID: I20060323000833 |
Provider Name | Michael L Douek |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1043253255 PECOS PAC ID: 6204844129 Enrollment ID: I20060403000803 |
Provider Name | Daniel H Silverman |
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Provider Type | Practitioner - Nuclear Medicine |
Provider Identifiers | NPI Number: 1295761880 PECOS PAC ID: 7911910963 Enrollment ID: I20060717000357 |
Provider Name | Michael Linetsky |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568405389 PECOS PAC ID: 4880607753 Enrollment ID: I20060718000188 |
Provider Name | Fereidoun G Abtin |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447267547 PECOS PAC ID: 9436152873 Enrollment ID: I20060824000356 |
Provider Name | Cheryce P Fischer |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1487696134 PECOS PAC ID: 1850204223 Enrollment ID: I20070205000177 |
Provider Name | Maitraya K Patel |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1932255189 PECOS PAC ID: 8426153388 Enrollment ID: I20070420000476 |
Provider Name | Benjamin D Levine |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1508985565 PECOS PAC ID: 5890894703 Enrollment ID: I20070618000479 |
Provider Name | Luz S Delportillo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760554026 PECOS PAC ID: 1658470810 Enrollment ID: I20070628000482 |
Provider Name | Mary Guevarra |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386776144 PECOS PAC ID: 4486754470 Enrollment ID: I20070703000767 |
Provider Name | John P Livoni |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1033200902 PECOS PAC ID: 9032200704 Enrollment ID: I20070809000497 |
Provider Name | Michael E Fischer |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1740239060 PECOS PAC ID: 4981797073 Enrollment ID: I20070905000760 |
Provider Name | Barbara Marion Kadell |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1891747564 PECOS PAC ID: 3274626932 Enrollment ID: I20070911000664 |
Provider Name | Michelle H Tan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083817514 PECOS PAC ID: 5294829719 Enrollment ID: I20070914000245 |
Provider Name | Robert D Suh |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1285659748 PECOS PAC ID: 2264528223 Enrollment ID: I20071022000742 |
Provider Name | Rhonda M Meier |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770554651 PECOS PAC ID: 4385726710 Enrollment ID: I20080124000299 |
Provider Name | Antonio J Gutierrez |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1396917688 PECOS PAC ID: 6406935287 Enrollment ID: I20080505000717 |
Provider Name | Beronie Vondell Richardson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235302373 PECOS PAC ID: 6901976158 Enrollment ID: I20080530000696 |
Provider Name | Jane M Dascalos |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1710159447 PECOS PAC ID: 1153492400 Enrollment ID: I20080614000058 |
Provider Name | Bartlomiej Drewniak |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154594240 PECOS PAC ID: 1456428051 Enrollment ID: I20080924000149 |
Provider Name | Omar S Sahagun |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1306812805 PECOS PAC ID: 0446351100 Enrollment ID: I20081104000190 |
Provider Name | Diana Dermendjian |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043415383 PECOS PAC ID: 2264591015 Enrollment ID: I20081107000382 |
Provider Name | Ana Maria Maliglig |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1134277171 PECOS PAC ID: 4880756527 Enrollment ID: I20081215000467 |
Provider Name | Patricia Mcdermott |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447364872 PECOS PAC ID: 9133281397 Enrollment ID: I20081222000513 |
Provider Name | Scott Genshaft |
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Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1215189683 PECOS PAC ID: 6507922689 Enrollment ID: I20090226000208 |
Provider Name | Melissa Joines |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1043462369 PECOS PAC ID: 9234296161 Enrollment ID: I20090320000336 |
Provider Name | Pierangelo Renella |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1124117254 PECOS PAC ID: 7810040995 Enrollment ID: I20090807000056 |
Provider Name | Donald Lewis Roback |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1467401240 PECOS PAC ID: 5395899140 Enrollment ID: I20090813000612 |
Provider Name | Theodore Hall |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1538194840 PECOS PAC ID: 3870647571 Enrollment ID: I20090814000289 |
Provider Name | Nazanin Yaghmai |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1629014329 PECOS PAC ID: 9133266398 Enrollment ID: I20091021000492 |
Provider Name | Shahnaz G Ghahremani-koureh |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1205169075 PECOS PAC ID: 0446397301 Enrollment ID: I20091026000237 |
Provider Name | John M Moriarty |
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Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1609009125 PECOS PAC ID: 3375680259 Enrollment ID: I20091026000436 |
Provider Name | Pauline Wu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1457550246 PECOS PAC ID: 4385781913 Enrollment ID: I20091029000767 |
Provider Name | Agatha H Postman Kuchta |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760638415 PECOS PAC ID: 5193886992 Enrollment ID: I20091113000465 |
Provider Name | Reza Jahan |
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Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1558304774 PECOS PAC ID: 5294875274 Enrollment ID: I20091223000247 |
Provider Name | Richard Kim |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366427510 PECOS PAC ID: 8729123419 Enrollment ID: I20100305000369 |
Provider Name | Robert A Saed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235330119 PECOS PAC ID: 9032248208 Enrollment ID: I20100526000579 |
Provider Name | Anokh Pahwa |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1689840944 PECOS PAC ID: 5597895755 Enrollment ID: I20100615000098 |
Provider Name | Simin Bahrami |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1881846582 PECOS PAC ID: 0749310910 Enrollment ID: I20100615000126 |
Provider Name | Gregory D Saccone |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427106384 PECOS PAC ID: 5294866844 Enrollment ID: I20100626000297 |
Provider Name | Edward W Lee |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1215189550 PECOS PAC ID: 1557494226 Enrollment ID: I20100802000284 |
Provider Name | Katrina R Beckett |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1356668701 PECOS PAC ID: 7911031679 Enrollment ID: I20100817000365 |
Provider Name | Beth S Marcus |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326009549 PECOS PAC ID: 5799819322 Enrollment ID: I20100817001460 |
Provider Name | Anh Trong Nguyen |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1467642926 PECOS PAC ID: 8729112230 Enrollment ID: I20100819000862 |
Provider Name | Lori Taylor Serwatka |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1891977468 PECOS PAC ID: 3870542871 Enrollment ID: I20100920001153 |
Provider Name | Aneka J Braxton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558697375 PECOS PAC ID: 4082809884 Enrollment ID: I20101105000794 |
Provider Name | Vladimir G Manuel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588809420 PECOS PAC ID: 9537354824 Enrollment ID: I20101111001577 |
Provider Name | Dora H So |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700807609 PECOS PAC ID: 3577594084 Enrollment ID: I20101115001157 |
Provider Name | Sonia Devgan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528002839 PECOS PAC ID: 2668494287 Enrollment ID: I20110307000260 |
Provider Name | Kathleen L Ruchalski |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1235306077 PECOS PAC ID: 7113101031 Enrollment ID: I20110418000374 |
Provider Name | Meena S Makhijani |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578714432 PECOS PAC ID: 0244415636 Enrollment ID: I20110428000644 |
Provider Name | Kathleen Brown |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1346275237 PECOS PAC ID: 0749466258 Enrollment ID: I20110518000404 |
Provider Name | Rinat Masamed |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518153246 PECOS PAC ID: 3173700044 Enrollment ID: I20110601000258 |
Provider Name | Kyung-ah Cho Anderson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750617247 PECOS PAC ID: 2668640145 Enrollment ID: I20110728000181 |
Provider Name | Michael Shye |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639469588 PECOS PAC ID: 8628247657 Enrollment ID: I20110809000581 |
Provider Name | Leena J Uranwala |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003195579 PECOS PAC ID: 0547431868 Enrollment ID: I20110919000246 |
Provider Name | Jonathan Helali |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1194977744 PECOS PAC ID: 9537331962 Enrollment ID: I20111007000312 |
Provider Name | Tiffany Sheh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821158635 PECOS PAC ID: 3173790045 Enrollment ID: I20120117000468 |
Provider Name | Wendy A Nelson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457507576 PECOS PAC ID: 7416114558 Enrollment ID: I20120201000670 |
Provider Name | Irina Feldman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225305956 PECOS PAC ID: 2466619499 Enrollment ID: I20120202000841 |
Provider Name | Gisele Wudka |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912068370 PECOS PAC ID: 1850559584 Enrollment ID: I20120227000127 |
Provider Name | Norman H Solomon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356401178 PECOS PAC ID: 4284893231 Enrollment ID: I20120309000593 |
Provider Name | Sandra Wang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720002512 PECOS PAC ID: 3971518192 Enrollment ID: I20120417000332 |
Provider Name | Raymond Shing |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952668923 PECOS PAC ID: 6901069962 Enrollment ID: I20120531000602 |
Provider Name | Paul J Iskander |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1114183829 PECOS PAC ID: 8426212317 Enrollment ID: I20120605000335 |
Provider Name | Adam Plotnik |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558621078 PECOS PAC ID: 8921263005 Enrollment ID: I20120625000226 |
Provider Name | Bryan Y Yoo |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1356546899 PECOS PAC ID: 8820253800 Enrollment ID: I20120625000331 |
Provider Name | Ameera F. F. Ismail |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1124238761 PECOS PAC ID: 3173792900 Enrollment ID: I20120628000258 |
Provider Name | Kevin George King |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1225298565 PECOS PAC ID: 9739345026 Enrollment ID: I20120801000470 |
Provider Name | Cameron Hassani |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518261239 PECOS PAC ID: 6406024272 Enrollment ID: I20120803000580 |
Provider Name | Benjamin E Plotkin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1386844694 PECOS PAC ID: 1850569500 Enrollment ID: I20121217000289 |
Provider Name | Sandra I Vizireanu |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205060449 PECOS PAC ID: 1355593393 Enrollment ID: I20121220000208 |
Provider Name | Ely R Felker |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1942528468 PECOS PAC ID: 5092968727 Enrollment ID: I20130109000257 |
Provider Name | Sindy H Wei-mester |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1053548115 PECOS PAC ID: 4486892718 Enrollment ID: I20130529000101 |
Provider Name | Victor F Sai |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1255593604 PECOS PAC ID: 6103064878 Enrollment ID: I20130608000001 |
Provider Name | Sumit Dua |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1740437441 PECOS PAC ID: 0648418319 Enrollment ID: I20130608000010 |
Provider Name | Justin A Dye |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1629212535 PECOS PAC ID: 9335387000 Enrollment ID: I20130608000064 |
Provider Name | Jordan Anaokar |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1386893055 PECOS PAC ID: 2961641667 Enrollment ID: I20130610000211 |
Provider Name | Nooshin Yashar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508109869 PECOS PAC ID: 0244464691 Enrollment ID: I20131018000134 |
Provider Name | Sharon Kim Macaluso |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174964894 PECOS PAC ID: 4284869728 Enrollment ID: I20131108000915 |
Provider Name | Manuel Mendoza |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952627184 PECOS PAC ID: 8820224942 Enrollment ID: I20131120001040 |
Provider Name | Viktor Szeder |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1174609036 PECOS PAC ID: 6406922277 Enrollment ID: I20131125000051 |
Provider Name | Rachelle D Padilla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215210083 PECOS PAC ID: 1153559398 Enrollment ID: I20140114001168 |
Provider Name | May Nour |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1366679508 PECOS PAC ID: 8820227382 Enrollment ID: I20140203000147 |
Provider Name | Robert Kozlowski |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013178102 PECOS PAC ID: 2668635335 Enrollment ID: I20140410001829 |
Provider Name | Jennifer Heller-juarez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164640777 PECOS PAC ID: 4789808403 Enrollment ID: I20140618001843 |
Provider Name | Christian Geannette |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1356503775 PECOS PAC ID: 9032333570 Enrollment ID: I20140624000955 |
Provider Name | Walter Jong |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689092397 PECOS PAC ID: 2365666856 Enrollment ID: I20140625000105 |
Provider Name | Banafsheh Salehi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1629210653 PECOS PAC ID: 5991920845 Enrollment ID: I20140708002562 |
Provider Name | Kirsten F Anthony |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457771966 PECOS PAC ID: 8224254339 Enrollment ID: I20140725001920 |
Provider Name | Ashley Elizabeth Prosper |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1932534492 PECOS PAC ID: 9931326931 Enrollment ID: I20140815000444 |
Provider Name | Steven R Kussman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1437386000 PECOS PAC ID: 8426280215 Enrollment ID: I20140816000101 |
Provider Name | Jordan Scott Gross |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1902032931 PECOS PAC ID: 1850519083 Enrollment ID: I20140828002536 |
Provider Name | Melissa L Meads |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558772475 PECOS PAC ID: 3971722778 Enrollment ID: I20140909002269 |
Provider Name | Betty Chen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063843969 PECOS PAC ID: 8022239870 Enrollment ID: I20141021001694 |
Provider Name | Reuben Ram |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275809691 PECOS PAC ID: 6406078252 Enrollment ID: I20141111000077 |
Provider Name | Sharis Saketkhoo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013168400 PECOS PAC ID: 6002138070 Enrollment ID: I20141202000520 |
Provider Name | Ashmeeta Praful Kapadia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538474093 PECOS PAC ID: 6204062185 Enrollment ID: I20150310002523 |
Provider Name | Matthew T Quirk |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528324522 PECOS PAC ID: 5597086009 Enrollment ID: I20150609003099 |
Provider Name | Neema Jamshidi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1275853434 PECOS PAC ID: 4688995921 Enrollment ID: I20150611001746 |
Provider Name | Avetis Azizyan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1336452184 PECOS PAC ID: 0840511192 Enrollment ID: I20150611001832 |
Provider Name | Lila T Pourzand |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1942539853 PECOS PAC ID: 7810213899 Enrollment ID: I20150611002910 |
Provider Name | Daniel Pourshalimi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215295662 PECOS PAC ID: 3375858996 Enrollment ID: I20150811005808 |
Provider Name | Christine Kim |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1467623322 PECOS PAC ID: 7618283268 Enrollment ID: I20150827003079 |
Provider Name | Tejas Chandrakant Manchandia |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1619242898 PECOS PAC ID: 4486960432 Enrollment ID: I20150904001793 |
Provider Name | Truyen Dang Saxonberg |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033350178 PECOS PAC ID: 8820305626 Enrollment ID: I20150910002071 |
Provider Name | Patrick Yaffee |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144587676 PECOS PAC ID: 0547577967 Enrollment ID: I20150917002096 |
Provider Name | Sagir G Bera |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033406574 PECOS PAC ID: 7911126735 Enrollment ID: I20151016000884 |
Provider Name | Su Hutchinson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972757219 PECOS PAC ID: 2264609494 Enrollment ID: I20151102001536 |
Provider Name | Ashley R Mcleish |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881028595 PECOS PAC ID: 2062647068 Enrollment ID: I20151116001121 |
Provider Name | Jason Fong Gi Lee |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164786042 PECOS PAC ID: 4587960513 Enrollment ID: I20160316002653 |
Provider Name | Johnathan Chen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1669798443 PECOS PAC ID: 5597983916 Enrollment ID: I20160404000908 |
Provider Name | Angela Mosby |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235118233 PECOS PAC ID: 7315943412 Enrollment ID: I20160426000524 |
Provider Name | Bo Li |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1710272224 PECOS PAC ID: 3971802869 Enrollment ID: I20160427001411 |
Provider Name | Lucy Chow |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1538402870 PECOS PAC ID: 4981993201 Enrollment ID: I20160510000781 |
Provider Name | Arash Bedayat |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1801182621 PECOS PAC ID: 0143528075 Enrollment ID: I20160511002652 |
Provider Name | Ryan G Aronin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326486770 PECOS PAC ID: 9133419468 Enrollment ID: I20160527001315 |
Provider Name | Jay Acharya |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871995498 PECOS PAC ID: 1951691831 Enrollment ID: I20160606001067 |
Provider Name | Donald Y Kim |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558651885 PECOS PAC ID: 2860782661 Enrollment ID: I20160607001969 |
Provider Name | Milos M Cekic |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1609136258 PECOS PAC ID: 7911290960 Enrollment ID: I20160728000087 |
Provider Name | Haatal Dave Macer |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1023309424 PECOS PAC ID: 7315230141 Enrollment ID: I20160801001311 |
Provider Name | Roy Bryan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1396021648 PECOS PAC ID: 7113171240 Enrollment ID: I20160826001633 |
Provider Name | Jerry Tsu-yuen Loo |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1700177847 PECOS PAC ID: 1254628258 Enrollment ID: I20160919002033 |
Provider Name | Richard R Cooke |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740320670 PECOS PAC ID: 5294835781 Enrollment ID: I20160930001087 |
Provider Name | Siddharth Ashok Padia |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1952578254 PECOS PAC ID: 7719031616 Enrollment ID: I20161206000863 |
Provider Name | James Arthur Waters |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205295243 PECOS PAC ID: 0042599755 Enrollment ID: I20170327001543 |
Provider Name | Gary G Tse |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1043577570 PECOS PAC ID: 7113295627 Enrollment ID: I20170623001732 |
Provider Name | Aarti Patil Luhar |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1477848471 PECOS PAC ID: 5698044964 Enrollment ID: I20170629000701 |
Provider Name | Frank Hao |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1346508827 PECOS PAC ID: 5092084624 Enrollment ID: I20170712003923 |
Provider Name | Reno Giovonni Terribilini |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821402033 PECOS PAC ID: 1254558174 Enrollment ID: I20170720002059 |
Provider Name | Amir Kasra Iranmahboob |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992063358 PECOS PAC ID: 2668742636 Enrollment ID: I20170724003709 |
Provider Name | Navid Darouian |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1487064564 PECOS PAC ID: 8729351218 Enrollment ID: I20170905002399 |
Provider Name | Lara Atchabahian Samourjian |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144648262 PECOS PAC ID: 3274808852 Enrollment ID: I20171006002611 |
Provider Name | Helen Chioma Okoh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396142956 PECOS PAC ID: 8820364144 Enrollment ID: I20171031002508 |
Provider Name | Salim Feizal Ahmed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851772214 PECOS PAC ID: 9133488737 Enrollment ID: I20180104001086 |
Provider Name | Moira Rashid |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578900767 PECOS PAC ID: 7810284478 Enrollment ID: I20180214002800 |
Provider Name | Mollie Ann Rashid |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1588078968 PECOS PAC ID: 5991060451 Enrollment ID: I20180604001731 |
Provider Name | Rohit Dewan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871859504 PECOS PAC ID: 9739450362 Enrollment ID: I20180605002640 |
Provider Name | Kevin L Denton |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518304930 PECOS PAC ID: 0840597829 Enrollment ID: I20180606002882 |
Provider Name | Nina M Capiro |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1770979239 PECOS PAC ID: 5597020826 Enrollment ID: I20180607000942 |
Provider Name | Tiffany L Chan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1457796518 PECOS PAC ID: 7517222854 Enrollment ID: I20180607001245 |
Provider Name | Ravi N Srinivasa |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1134333768 PECOS PAC ID: 1456507664 Enrollment ID: I20180607002427 |
Provider Name | Saurabh Gupta |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1952746802 PECOS PAC ID: 4486894110 Enrollment ID: I20180611002938 |
Provider Name | Nathaniel David Moradzadeh |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1922341049 PECOS PAC ID: 6204182629 Enrollment ID: I20180627001889 |
Provider Name | Varand Ghazikhanian |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1578759395 PECOS PAC ID: 1254519697 Enrollment ID: I20180628003583 |
Provider Name | Michael J Kessler |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1831535061 PECOS PAC ID: 5193020360 Enrollment ID: I20180629001852 |
Provider Name | David Rigual |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1588907604 PECOS PAC ID: 2860719473 Enrollment ID: I20180730000894 |
Provider Name | Mariya Nercessian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801282744 PECOS PAC ID: 0143574699 Enrollment ID: I20181119003232 |
Provider Name | Hannah S Milch |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1043573140 PECOS PAC ID: 3173898087 Enrollment ID: I20181120001397 |
Provider Name | Madison Brooke Harris |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972085694 PECOS PAC ID: 7911251228 Enrollment ID: I20181126000936 |
Provider Name | Alanna Chig |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821531948 PECOS PAC ID: 5991049843 Enrollment ID: I20181203002932 |
Provider Name | Sean D Delshad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265894257 PECOS PAC ID: 6608120787 Enrollment ID: I20190411001696 |
Provider Name | Bagrat Mkrtchyan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013398916 PECOS PAC ID: 3870835846 Enrollment ID: I20190424000582 |
Provider Name | Julie Urrunaga |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1184764078 PECOS PAC ID: 1456693696 Enrollment ID: I20190508001950 |
Provider Name | Kathleen Seretan-hateley Macintyre |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1104211606 PECOS PAC ID: 7618232224 Enrollment ID: I20190520000994 |
Provider Name | Daniel Sean Bradley |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1457700767 PECOS PAC ID: 0244522837 Enrollment ID: I20190603000985 |
Provider Name | Alex Chung |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1982068284 PECOS PAC ID: 4385977578 Enrollment ID: I20190603001323 |
Provider Name | Zachary Mark Haber |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1922461862 PECOS PAC ID: 6406189455 Enrollment ID: I20190606002727 |
Provider Name | Holly Dieu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184155285 PECOS PAC ID: 5597090506 Enrollment ID: I20190712002650 |
Provider Name | Daniel Demirchyan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740639046 PECOS PAC ID: 6002142924 Enrollment ID: I20190730001544 |
Provider Name | Bonny Lee |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1255750568 PECOS PAC ID: 6901134089 Enrollment ID: I20190828000189 |
Provider Name | James S Chalfant |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447679105 PECOS PAC ID: 6800136094 Enrollment ID: I20190925001895 |
Provider Name | Eddy Ang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508158197 PECOS PAC ID: 5092947580 Enrollment ID: I20191008000716 |
Provider Name | Isaac Sinai |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669823860 PECOS PAC ID: 4789916792 Enrollment ID: I20191024000724 |
Provider Name | Victoria Belle Yea Ri Shin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063837631 PECOS PAC ID: 1456683812 Enrollment ID: I20191105000037 |
Provider Name | Ingrid Maria Payton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619526704 PECOS PAC ID: 7214369602 Enrollment ID: I20191125000951 |
Provider Name | Fatemeh Abdollahi Mofakham |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1659652915 PECOS PAC ID: 4587963400 Enrollment ID: I20200213000840 |
Provider Name | Raffi Petrosian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871027540 PECOS PAC ID: 3779912084 Enrollment ID: I20200408002832 |
Provider Name | Luke N Ledbetter |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1730342775 PECOS PAC ID: 1052556453 Enrollment ID: I20200430002283 |
Provider Name | Jena Nicole Depetris |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1962889063 PECOS PAC ID: 6305144452 Enrollment ID: I20200522001543 |
Provider Name | Kim Mccray Carnazzola |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629093083 PECOS PAC ID: 8426152638 Enrollment ID: I20200603001052 |
Provider Name | Timothy William Iafe |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1508251422 PECOS PAC ID: 8921362856 Enrollment ID: I20200615002165 |
Provider Name | Jasmin Awadeh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346777646 PECOS PAC ID: 8022430933 Enrollment ID: I20200623001953 |
Provider Name | Michael Chinazo Opene |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851827471 PECOS PAC ID: 8527480136 Enrollment ID: I20200626000240 |
Provider Name | Chantal M Pina Gomes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538691118 PECOS PAC ID: 3779906383 Enrollment ID: I20200714003190 |
Provider Name | Mona Ranade |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1811296429 PECOS PAC ID: 3375813736 Enrollment ID: I20201001001494 |
Provider Name | June Renee Santiano Lee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164038717 PECOS PAC ID: 6608296728 Enrollment ID: I20201012001277 |
Provider Name | Meagan Wong |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568818227 PECOS PAC ID: 3779858352 Enrollment ID: I20201023000863 |
Provider Name | Feliks Avanesyan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699295758 PECOS PAC ID: 0446520894 Enrollment ID: I20201029001808 |
Provider Name | Naoki Kaneko |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1306435805 PECOS PAC ID: 8426464231 Enrollment ID: I20210302002753 |
Provider Name | Jessica Stewart |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1932487964 PECOS PAC ID: 0345514774 Enrollment ID: I20210303001017 |
Provider Name | Olivia E Linden |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1801250089 PECOS PAC ID: 5890086342 Enrollment ID: I20210325002684 |
Provider Name | Chih-sheng Jason Chiang |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1295198638 PECOS PAC ID: 7618269572 Enrollment ID: I20210514000735 |
Provider Name | John Tran |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316444896 PECOS PAC ID: 4789083734 Enrollment ID: I20210525002194 |
Provider Name | Talin Meshefedjian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245721893 PECOS PAC ID: 9537560883 Enrollment ID: I20210624002168 |
Provider Name | Matthias Richard Benz |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528642519 PECOS PAC ID: 0547663122 Enrollment ID: I20210720001384 |
Provider Name | Chukwuemeka Kingsley Okoro |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992202329 PECOS PAC ID: 8527462258 Enrollment ID: I20210803002023 |
Provider Name | Mandana Hodjati |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568763050 PECOS PAC ID: 4082897632 Enrollment ID: I20210811001710 |
Provider Name | Isabel Bedoyan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104306570 PECOS PAC ID: 6709281819 Enrollment ID: I20210826002246 |
Provider Name | Shelly Prasad Chawla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447664636 PECOS PAC ID: 8628347523 Enrollment ID: I20211013002451 |
Provider Name | Shirin Aghazadeh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457842866 PECOS PAC ID: 4880093376 Enrollment ID: I20211104002222 |
Provider Name | Adrian V Go |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871264796 PECOS PAC ID: 4082003140 Enrollment ID: I20211110001734 |
Provider Name | Ceylan Zeynep Cankurtaran |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1508064619 PECOS PAC ID: 7214105949 Enrollment ID: I20211201002372 |
Provider Name | Reza Fardanesh |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1972763993 PECOS PAC ID: 4385911379 Enrollment ID: I20211202001993 |
Provider Name | Ingrid Yinghong He |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1760918155 PECOS PAC ID: 8022401975 Enrollment ID: I20220217000450 |
Provider Name | Kylie Nicole Stoeppel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730844762 PECOS PAC ID: 5991191975 Enrollment ID: I20220330001798 |
Provider Name | Andrea Sungjee Oh |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1740417765 PECOS PAC ID: 6305098484 Enrollment ID: I20220406001317 |
Provider Name | Maria Camila Arciniegas Calle |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740787829 PECOS PAC ID: 2264783141 Enrollment ID: I20220427002620 |
Provider Name | Stephen Shutian Cai |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1316471626 PECOS PAC ID: 7012264872 Enrollment ID: I20220523001090 |
Provider Name | Charles Bradford Beaman |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1669905956 PECOS PAC ID: 3072990449 Enrollment ID: I20220525000143 |
Provider Name | Sipan Mathevosian |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518499722 PECOS PAC ID: 4183014160 Enrollment ID: I20220603000359 |
Provider Name | Jeremy Joseph Middleton |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1649771056 PECOS PAC ID: 9931587789 Enrollment ID: I20220607000971 |
Provider Name | Nooshin Najmi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1174985386 PECOS PAC ID: 5395123079 Enrollment ID: I20220608002482 |
Provider Name | Tyler Joseph Sevco |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1790210961 PECOS PAC ID: 7416226204 Enrollment ID: I20220613001351 |
Provider Name | Lucas R Cusumano |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1619408242 PECOS PAC ID: 4284037862 Enrollment ID: I20220613001373 |
Provider Name | Joshua Kingsley Sweigert |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1295265239 PECOS PAC ID: 0547640195 Enrollment ID: I20220629001978 |
Provider Name | Shenise Nicole Gilyard |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1922528108 PECOS PAC ID: 8527331644 Enrollment ID: I20220629003088 |
Provider Name | Shahdee Zarini |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205399987 PECOS PAC ID: 2961737952 Enrollment ID: I20220729001744 |
Provider Name | Alice Soojung Ha |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699824771 PECOS PAC ID: 8224109137 Enrollment ID: I20220729002581 |
Provider Name | Kevin Wesley Chang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770044174 PECOS PAC ID: 4486989522 Enrollment ID: I20220802000622 |
Provider Name | Wade Kendrick Castro Licup |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881157998 PECOS PAC ID: 2163805292 Enrollment ID: I20220822003202 |
Provider Name | Wilmer Ernesto Garcia Ricardo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205496239 PECOS PAC ID: 8224419932 Enrollment ID: I20220825001632 |
Provider Name | Soheil Kooraki |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1124637087 PECOS PAC ID: 8426432006 Enrollment ID: I20220831000775 |
Provider Name | Ardalan Tangestanipoor |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1427538057 PECOS PAC ID: 7719361054 Enrollment ID: I20220906000157 |
Provider Name | David Shen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942781315 PECOS PAC ID: 8820472996 Enrollment ID: I20220908003349 |
Provider Name | Kosha Doshi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588124903 PECOS PAC ID: 3870979552 Enrollment ID: I20221004000825 |
Provider Name | Young Soo Lee |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407318587 PECOS PAC ID: 4880920966 Enrollment ID: I20230221001344 |
Provider Name | Lea Azour |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1790076941 PECOS PAC ID: 2365724994 Enrollment ID: I20230308000524 |
Provider Name | James Daffin Senechal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780662106 PECOS PAC ID: 1153567219 Enrollment ID: I20230412002203 |
Provider Name | Erika Denise Romero-gutierrez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013572932 PECOS PAC ID: 1456726967 Enrollment ID: I20230417000267 |
Provider Name | Cato Chan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1477084648 PECOS PAC ID: 1355707597 Enrollment ID: I20230515001254 |
Provider Name | Brandon Lee Gisi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1508363003 PECOS PAC ID: 3375909336 Enrollment ID: I20230517000588 |
Provider Name | Barry Bardia Golestany |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1134617772 PECOS PAC ID: 1759747728 Enrollment ID: I20230517000957 |
Provider Name | Tiffany Tse Yu |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1629573019 PECOS PAC ID: 3072979939 Enrollment ID: I20230518001550 |
Provider Name | Zhaoying Xian |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1073018073 PECOS PAC ID: 1951767821 Enrollment ID: I20230518002108 |
Provider Name | James Zhe Hui |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1023542099 PECOS PAC ID: 9638535495 Enrollment ID: I20230519002773 |
Provider Name | Charles Davis |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568959120 PECOS PAC ID: 5395071799 Enrollment ID: I20230522001087 |
Provider Name | Alan Dat Huynh |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1720585847 PECOS PAC ID: 9638407992 Enrollment ID: I20230523000685 |
Provider Name | Claire Anne Lis |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1114412608 PECOS PAC ID: 9537525241 Enrollment ID: I20230523002189 |
Provider Name | Cheickna Fofana |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1245729342 PECOS PAC ID: 9133585763 Enrollment ID: I20230523003312 |
Provider Name | Kevin Young Kim |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1134626047 PECOS PAC ID: 0345606919 Enrollment ID: I20230524001669 |
Provider Name | Joseph Dean Saucier |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1336637628 PECOS PAC ID: 4789933359 Enrollment ID: I20230524001689 |
Provider Name | Daniel Adran |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518456441 PECOS PAC ID: 2769711688 Enrollment ID: I20230525001648 |
Provider Name | Brian Kar-leung Ng |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558868265 PECOS PAC ID: 5193181667 Enrollment ID: I20230525002760 |
Provider Name | Savannah Elizabeth Fletcher |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1477058113 PECOS PAC ID: 7618223140 Enrollment ID: I20230530000389 |
Provider Name | Tyler E Callese |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1073017836 PECOS PAC ID: 7911323183 Enrollment ID: I20230530000922 |
Provider Name | Samantha C Phung |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1497252969 PECOS PAC ID: 3072866243 Enrollment ID: I20230530002509 |
Provider Name | Keiko Aun Fukuda |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1114418118 PECOS PAC ID: 5395091359 Enrollment ID: I20230531000258 |
Provider Name | Nazanin Hajarol Asvadi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1689197196 PECOS PAC ID: 6002180437 Enrollment ID: I20230531002191 |
Provider Name | Puja Shahrouki |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1790276079 PECOS PAC ID: 4486011665 Enrollment ID: I20230602000584 |
Provider Name | Jonathan Lin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1124515739 PECOS PAC ID: 0648637884 Enrollment ID: I20230605000493 |
Provider Name | Iris Ejune Chen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1366946444 PECOS PAC ID: 4981061033 Enrollment ID: I20230605001077 |
Provider Name | Zaid Imtiyaz Patel |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1780181917 PECOS PAC ID: 1557617685 Enrollment ID: I20230607001500 |
Provider Name | Adam Emmanuel Sierra |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1780172825 PECOS PAC ID: 2062878341 Enrollment ID: I20230608000857 |
Provider Name | Catherine Peterson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1073976353 PECOS PAC ID: 3779873948 Enrollment ID: I20230613000540 |
Provider Name | Samuel James Larussa |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1376993063 PECOS PAC ID: 5395102974 Enrollment ID: I20230613002821 |
Provider Name | Christopher Lin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1033606397 PECOS PAC ID: 4486012085 Enrollment ID: I20230614000113 |
Provider Name | Borna Patrick Vajdi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134744626 PECOS PAC ID: 3173981602 Enrollment ID: I20230615001427 |
Provider Name | Landon Joseph Melchior |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992291488 PECOS PAC ID: 9739547944 Enrollment ID: I20230621000603 |
Provider Name | Philip Mark Cacchione |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083233100 PECOS PAC ID: 1759701964 Enrollment ID: I20230628001577 |
Provider Name | Ahmed Abbas Ashary |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124641907 PECOS PAC ID: 6103285911 Enrollment ID: I20230711001799 |
Provider Name | Russell Abbott Reeves |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326573775 PECOS PAC ID: 3476819814 Enrollment ID: I20230713004015 |
Provider Name | Vance Marshal Washington |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811376908 PECOS PAC ID: 4183931017 Enrollment ID: I20230809000731 |
Provider Name | Ryan Yavorsky |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1720549850 PECOS PAC ID: 3870828155 Enrollment ID: I20231024001842 |
Provider Name | Navpreet Singh Badesha |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225698624 PECOS PAC ID: 8325373822 Enrollment ID: I20231117000757 |
Provider Name | Niyati Vijay Vaidya |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427430990 PECOS PAC ID: 8729478706 Enrollment ID: I20231219003849 |
Provider Name | Mikhail Roubakha |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699262683 PECOS PAC ID: 3173876828 Enrollment ID: I20240216004318 |
Provider Name | Meray Malena Ohanessian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114459807 PECOS PAC ID: 1850667643 Enrollment ID: I20240503000169 |
Silva Karchikian, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Arden Ave, Suite 101, Glendale, CA 91203 Phone: 818-549-9305 Fax: 818-662-8812 | |
Glendale Premier Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W Eulalia St, #201, Glendale, CA 91204 Phone: 818-240-0601 Fax: 818-240-0687 | |
Glenoaks Urgent Care Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W Glenoaks Blvd, Glendale, CA 91202 Phone: 818-242-3333 Fax: 818-546-1056 | |
Rubin Manavi, Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 N Central Ave, Glendale, CA 91203 Phone: 818-241-0970 Fax: 818-638-0024 | |
Armen Nercessian Do Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1122 N Brand Blvd Ste 101, Glendale, CA 91202 Phone: 818-552-2011 Fax: 818-552-2012 | |
Synergy Observation Specialists Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1509 Wilson Ter, Glendale, CA 91206 Phone: 818-409-8000 | |
Lev Grinman Md 3 Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 N Brand Blvd Ste 600, Glendale, CA 91203 Phone: 818-369-1170 |