Wound Md Pc | |
5744 Oak Bend Ln Unit 401 Oak Park CA 91377-5670 | |
(323) 800-2799 | |
(216) 273-9998 |
Full Name | Wound Md Pc |
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Speciality | General Practice |
Location | 5744 Oak Bend Ln Unit 401, Oak Park, California |
Authorized Official Name and Position | Fernando Antelo (OWNER/CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 3238002799 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wound Md Pc 6150 Parkland Blvd Ste 225 Mayfield Heights OH 44124-4103 Ph: (216) 273-9800 | Wound Md Pc 5744 Oak Bend Ln Unit 401 Oak Park CA 91377-5670 Ph: (323) 800-2799 |
NPI Number | 1942606744 |
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Provider Enumeration Date | 11/06/2014 |
Last Update Date | 05/02/2024 |
Medicare PECOS PAC ID | 8820314529 |
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Medicare Enrollment ID | O20150223001584 |
Identifier | Type | State | Issuer |
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1942606744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Robyn Anne Lakamsani |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073786315 PECOS PAC ID: 0941271233 Enrollment ID: I20040803001081 |
Provider Name | Derek P Gong |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184671513 PECOS PAC ID: 7618918830 Enrollment ID: I20050518000803 |
Provider Name | Monica L Brown |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1467496919 PECOS PAC ID: 4082615398 Enrollment ID: I20070212000707 |
Provider Name | John Fu-tsun Hsu |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1093038135 PECOS PAC ID: 0749319382 Enrollment ID: I20100520000289 |
Provider Name | Gabriel Carabello |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1164453320 PECOS PAC ID: 3577756600 Enrollment ID: I20101102000967 |
Provider Name | Jeffrey E Deweese |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1326072893 PECOS PAC ID: 4981892759 Enrollment ID: I20101221000032 |
Provider Name | Naomi Torgersen |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1972675627 PECOS PAC ID: 8123294873 Enrollment ID: I20111229000445 |
Provider Name | John O Simmonds |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1801195912 PECOS PAC ID: 1254593130 Enrollment ID: I20120511000418 |
Provider Name | Fernando Antelo |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1295927887 PECOS PAC ID: 3274796800 Enrollment ID: I20120518000273 |
Provider Name | Alvin May |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1184884876 PECOS PAC ID: 0547411936 Enrollment ID: I20121112000615 |
Provider Name | Gary Michael Weissenfluh |
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Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1972706422 PECOS PAC ID: 6204019284 Enrollment ID: I20140120000355 |
Provider Name | Patricia Lutfy |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1497024061 PECOS PAC ID: 1355656943 Enrollment ID: I20150811004817 |
Provider Name | Andrea H Shoup |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861934838 PECOS PAC ID: 2062795222 Enrollment ID: I20170214000082 |
Provider Name | Richard Rodney Foy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174598262 PECOS PAC ID: 0648177634 Enrollment ID: I20170821001789 |
Provider Name | Eurides I.f Lopes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447511803 PECOS PAC ID: 3577852284 Enrollment ID: I20180405000593 |
Provider Name | Marissa A De Freese |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1194963462 PECOS PAC ID: 3072709138 Enrollment ID: I20180830003141 |
Provider Name | Alexander Hu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043752751 PECOS PAC ID: 3779868062 Enrollment ID: I20190430003111 |
Provider Name | Alexander F Simopoulos |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1801002969 PECOS PAC ID: 2365784899 Enrollment ID: I20190501003335 |
Provider Name | Brittni C Moroyoqui |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669025631 PECOS PAC ID: 2062742281 Enrollment ID: I20191001000868 |
Provider Name | Debra L Stafford |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1003994294 PECOS PAC ID: 5193150886 Enrollment ID: I20200128001013 |
Provider Name | Majdi L Abdulmaula |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295260529 PECOS PAC ID: 8527335314 Enrollment ID: I20200707002394 |
Provider Name | Brian M Cullison |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1952357097 PECOS PAC ID: 7618881673 Enrollment ID: I20210816003519 |
Provider Name | George T Drugas |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1558398347 PECOS PAC ID: 3971693722 Enrollment ID: I20210922002137 |
Provider Name | Ann Amukele |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1669623153 PECOS PAC ID: 2668866062 Enrollment ID: I20220301001476 |
Provider Name | Susan Canning |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1689677122 PECOS PAC ID: 1951350164 Enrollment ID: I20220322001286 |
Provider Name | Karen Johnston |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1326518325 PECOS PAC ID: 7810226420 Enrollment ID: I20220818000761 |
Provider Name | Philip Cardan |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1134446966 PECOS PAC ID: 9133420144 Enrollment ID: I20221012003621 |
Provider Name | Roberto Rey |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1942380787 PECOS PAC ID: 4587038138 Enrollment ID: I20230321002821 |
Provider Name | Rajeev Kaul |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1336198183 PECOS PAC ID: 6608889928 Enrollment ID: I20240401003385 |
Dr. Kiana Kiasaleh, Chiropractic Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1072 Powderhorn Ct, Oak Park, CA 91377 Phone: 818-879-1922 Fax: 805-495-4946 | |
Jeffrey Scott Kopstein, D.o., A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Southridge Dr, Oak Park, CA 91377 Phone: 818-437-1588 | |
Dieta Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Locust Ave, Oak Park, CA 91377 Phone: 818-292-2954 |