| Andrea Ayala Larco, MD | |
|
14427 Chase St Ste 100, Panorama City, CA 91402-3020 | |
| (818) 830-7751 | |
| Not Available |
| Full Name | Andrea Ayala Larco |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 14427 Chase St Ste 100, Panorama 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 |
|---|---|---|---|
| 1811360811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A155054 (California) | Primary |
| Entity Name | Innovative Medical Solutions Inc a Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972624955 PECOS PAC ID: 5294783080 Enrollment ID: O20050107000871 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Ayala Larco, MD 14427 Chase St Ste 100, Panorama City, CA 91402-3020 Ph: (818) 830-7751 | Andrea Ayala Larco, MD 14427 Chase St Ste 100, Panorama City, CA 91402-3020 Ph: (818) 830-7751 |
Angeline Li Ping Ong Su, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 |
Samuel L. Lim, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 |
Dr. Tracy S Yee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St Bldg 6, Panorama City, CA 91402 Phone: 833-574-2273 |
Shyam Randeria, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St / Balboa Plaza, Panorama City, CA 91402 Phone: 818-832-7292 |
Jeffrey Esguerra, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8727 Van Nuys Blvd Ste 101, Panorama City, CA 91402 Phone: 818-405-0090 Fax: 818-899-5969 |
Yuriy Verpukhovskiy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14860 Roscoe Blvd, Ste.306, Panorama City, CA 91402 Phone: 818-904-9200 Fax: 818-904-9300 |
Steven G. Steinberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 |