Dr Halleh Mir, MD | |
8700 Beverly Blvd, Room 4311, West Hollywood, CA 90048-1804 | |
(310) 423-4991 | |
(310) 423-2114 |
Full Name | Dr Halleh Mir |
---|---|
Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 8700 Beverly Blvd, West Hollywood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649208729 | NPI | - | NPPES |
GR0053510 | Medicaid | CA | |
00A671430 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | A671430 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Dr Halleh Mir, MD 8700 Beverly Blvd, Room 4311, West Hollywood, CA 90048-1804 Ph: (310) 423-4434 | Dr Halleh Mir, MD 8700 Beverly Blvd, Room 4311, West Hollywood, CA 90048-1804 Ph: (310) 423-4991 |
Dr. Kenan Mohammed Nadar, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-4451 Fax: 310-423-2114 | |
Dr. Manoj A Biniwale, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd Ste 4221, West Hollywood, CA 90048 Phone: 310-423-4451 Fax: 310-423-4131 | |
Seth J Langston, Pediatrics Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-4451 Fax: 310-423-2114 | |
Dr. Catherine Teressa Thriveni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd Ste 4221, West Hollywood, CA 90048 Phone: 310-423-4467 | |
Dipti Padhya, Pediatrics Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd Ste 4221, West Hollywood, CA 90048 Phone: 310-423-6310 Fax: 310-423-4131 | |
Dr. Nicole M Baca, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-4471 Fax: 310-423-0145 | |
Leena Caroline Gibson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, Suite 4311, West Hollywood, CA 90048 Phone: 310-423-4434 Fax: 310-423-2114 |