Mirko Andrew Giaconi, MD | |
1600 S Gaffey St, San Pedro, CA 90731-4628 | |
(310) 548-0201 | |
(310) 548-4492 |
Full Name | Mirko Andrew Giaconi |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 56 Years |
Location | 1600 S Gaffey St, San Pedro, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609850700 | NPI | - | NPPES |
00A256780 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A25678 (California) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | A25678 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Little Co Of Mary Med Ctr San Pedro | San pedro, CA | Hospital |
Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | Hospital |
Torrance Memorial Medical Center | Torrance, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dr Mona Shah Professional Corporation | 2062548084 | 9 |
Entity Name | Dr Mona Shah Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053643171 PECOS PAC ID: 2062548084 Enrollment ID: O20100405000187 |
Mailing Address | Practice Location Address |
---|---|
Mirko Andrew Giaconi, MD 1600 S Gaffey St, San Pedro, CA 90731-4628 Ph: (310) 548-0201 | Mirko Andrew Giaconi, MD 1600 S Gaffey St, San Pedro, CA 90731-4628 Ph: (310) 548-0201 |
Israel J Hernandez-arce, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1300 W 7th St, San Pedro, CA 90732 Phone: 310-832-3311 | |
Crescenzo Pisano, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1499 W 1st St, San Pedro, CA 90732 Phone: 310-831-9482 Fax: 310-831-1230 | |
Ms. Nicol Lippman, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1094 W. 7th St, San Pedro, CA 90731 Phone: 310-832-3331 Fax: 310-832-1741 | |
Dr. Siamak Stephen Marzban, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2403 S Moray Ave, Ste 2b, San Pedro, CA 90732 Phone: 310-832-2694 Fax: 310-547-0140 | |
Jasmeet Kaur, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 900 N Western Ave, San Pedro, CA 90732 Phone: 310-832-4225 | |
Dr. Herbert Haldeman Webb, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1360 West 6th Street, Suite 325, San Pedro, CA 90732 Phone: 310-832-8939 Fax: 310-514-5546 | |
Mr. David J Campisi, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1360 W 6th St, North Bldg Ste 315, San Pedro, CA 90732 Phone: 310-831-8952 Fax: 310-831-0568 |