Kathleen A Scanlon, MD | |
25825 Vermont Ave, Harbor City, CA 90710-3518 | |
(310) 325-5111 | |
Not Available |
Full Name | Kathleen A Scanlon |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 25825 Vermont Ave, Harbor City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245399872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | G79946 (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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Kathleen A Scanlon, MD 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111 | Kathleen A Scanlon, MD 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111 |
Amy Marie Paulik, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 800-780-1230 | |
Colleen Maria Bonpane Londono, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Julio Espinosa, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 25965 Normandie Ave, Harbor City, CA 90710 Phone: 562-881-9790 | |
John K. Mantis, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Gonzalo G. Garreton, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Nakia Theresa Mainor-roth, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Nioosha Godsi, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 |