| Audley Lloyd Martin Osbourne, MD | |
|
11620 Wilshire Blvd Ste 600, Los Angeles, CA 90025-1776 | |
| (310) 876-5649 | |
| Not Available |
| Full Name | Audley Lloyd Martin Osbourne |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 21 Years |
| Location | 11620 Wilshire Blvd Ste 600, Los Angeles, 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 |
|---|---|---|---|
| 1992900062 | NPI | - | NPPES |
| 14426 | Other | FL | DIMENSION |
| C149950 | Other | CA | MEDICALLICENSE |
| P01604782 | Other | FL | RR MEDICARE |
| 9155643 | Other | FL | AETNA |
| P1035875 | Other | FL | FREEDOM |
| 1096529 | Other | FL | WELLCARE |
| 362745 | Other | FL | AVMED |
| 0363920 | Other | FL | CIGNA |
| P971629 | Other | FL | OPTIMUM |
| 14NN3 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME113487 (Florida) | Primary |
| 208600000X | Surgery | L-224804 (Massachusetts) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthcare Partners Affiliates Medical Group | 7315842002 | 612 |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Mailing Address | Practice Location Address |
|---|---|
| Audley Lloyd Martin Osbourne, MD 402 W Colton Ave, Redlands, CA 92374-3108 Ph: () - | Audley Lloyd Martin Osbourne, MD 11620 Wilshire Blvd Ste 600, Los Angeles, CA 90025-1776 Ph: (310) 876-5649 |
Dr. Saum Bobak Ghodoussipour, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1516 San Pablo St Fl 5, Los Angeles, CA 90033 Phone: 323-865-3700 | |
Victor Nitti, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 Phone: 310-794-7700 Fax: 310-794-0211 | |
Dr. Carol Joan Bennett, M.D. Urology Medicare: Medicare Enrolled Practice Location: 11301 Wilshire Blvd # 10h2, Los Angeles, CA 90073 Phone: 310-478-3711 Fax: 310-268-4967 | |
Arie Belldegrun, MD Urology Medicare: Medicare Enrolled Practice Location: 200 Medical Plz, Suite 140, Los Angeles, CA 90095 Phone: 310-794-7700 Fax: 310-301-8751 | |
Dr. Stuart Holden, Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 Phone: 310-825-1172 Fax: 310-794-0987 | |
Jay J Stein, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 8635 W 3rd St, Suite 460w, Los Angeles, CA 90048 Phone: 310-652-8810 Fax: 310-652-0334 | |
Dr. Philip Werthman, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2080 Century Park E Ste 907, Los Angeles, CA 90067 Phone: 310-277-2873 Fax: 310-286-2139 |