| Amy Koplovsky, MD | |
|
3630 E Imperial Hwy, Lynwood, CA 90262-2609 | |
| (310) 900-8900 | |
| Not Available |
| Full Name | Amy Koplovsky |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 3630 E Imperial Hwy, Lynwood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578519963 | NPI | - | NPPES |
| 00A554550 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A55455 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | County Of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
| Entity Name | Hollywood Presbyterian Emergency Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972826931 PECOS PAC ID: 7618006263 Enrollment ID: O20100520000454 |
| Entity Name | Team Physicians Of Northern California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649692716 PECOS PAC ID: 7113215146 Enrollment ID: O20161006002407 |
| Entity Name | Nes Western Group A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487125019 PECOS PAC ID: 4587902952 Enrollment ID: O20190208002821 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Koplovsky, MD Po Box 2705-605, Huntington Beach, CA 92647 Ph: (562) 809-3571 | Amy Koplovsky, MD 3630 E Imperial Hwy, Lynwood, CA 90262-2609 Ph: (310) 900-8900 |
Karen Chang, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3630 E Imperial Hwy, Emergency Department, Lynwood, CA 90262 Phone: 310-900-4525 Fax: 310-900-8287 | |
Arturo Pelayo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3630 East Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-8900 | |
Dr. Viet Quoc Duong, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3630 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-4534 | |
Clayton D Kazan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3630 East Imperial Highway, Lynwood, CA 90262 Phone: 310-900-8900 | |
Maria L Davis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3630 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-4534 | |
Michael Y Malik, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3660 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-608-4898 Fax: 310-608-4884 | |
Van H Miller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3630 East Imperial Highway, Lynwood, CA 90262 Phone: 310-900-8900 |