Kjirsten Carlson, MD | |
4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | |
(310) 823-8911 | |
Not Available |
Full Name | Kjirsten Carlson |
---|---|
Gender | Female |
Speciality | Surgical Oncology |
Experience | 9 Years |
Location | 4650 Lincoln Blvd, Marina Del Rey, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124552880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A147052 (California) | Secondary |
208600000X | Surgery | T2132 (Texas) | Secondary |
2086X0206X | Surgery - Surgical Oncology | A147052 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cedars-sinai Medical Center | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cedars-sinai Medical Center Pharmacy 3 | 0446169114 | 648 |
Cedars-sinai Medical Care Foundation | 0941106645 | 1116 |
Entity Name | Cedars-sinai Medical Care Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
Entity Name | Cedars-sinai Medical Center Pharmacy #3 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639172372 PECOS PAC ID: 0446169114 Enrollment ID: O20040204000886 |
Mailing Address | Practice Location Address |
---|---|
Kjirsten Carlson, MD 4140 W 190th St, Torrance, CA 90504-5513 Ph: () - | Kjirsten Carlson, MD 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 Ph: (310) 823-8911 |
Jeremy E Korman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4644 Lincoln Blvd, Ste 450, Marina Del Rey, CA 90292 Phone: 800-491-1977 Fax: 310-577-5616 | |
Dr. Luis Humberto Macias, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 13160 Mindanao Way, Suite 202, Marina Del Rey, CA 90292 Phone: 310-574-2103 | |
Shay Byron Dean, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4832 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-482-6910 Fax: 310-496-0252 |