| Basem Fanous, MD | |
|
14124 Foothill Blvd, Suite 100, Sylmar, CA 91342 | |
| (818) 367-1012 | |
| (818) 367-7570 |
| Full Name | Basem Fanous |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 14124 Foothill Blvd, Sylmar, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619072600 | NPI | - | NPPES |
| 00A534060 | Medicaid | CA | |
| A053406 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A53406 (California) | Secondary |
| 207R00000X | Internal Medicine | A053406 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Holy Cross Medical Center | Mission hills, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Herbert S Radley Md And Harold M Cohen Md Medical Corporation | 5597652628 | 3 |
| Entity Name | Herbert S Radley Md & Harold M Cohen Md Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790716447 PECOS PAC ID: 5597652628 Enrollment ID: O20040302001394 |
| Mailing Address | Practice Location Address |
|---|---|
| Basem Fanous, MD 14124 Foothill Blvd, Suite 100, Sylmar, CA 91342 Ph: (818) 367-1012 | Basem Fanous, MD 14124 Foothill Blvd, Suite 100, Sylmar, CA 91342 Ph: (818) 367-1012 |
Dr. Reebu Kohli, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14445 Olive View Drive, Sylmar, CA 91342 Phone: 818-364-3205 | |
Dr. Arthur Jeng, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 14445 Olive View Dr, 2b182, Sylmar, CA 91342 Phone: 818-364-3205 Fax: 818-364-4573 | |
Dr. Christopher Lee Metchnikoff, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 14445 Olive View Dr # 2b-182, Sylmar, CA 91342 Phone: 747-210-3205 Fax: 747-210-4573 | |
Dr. John Cho, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14445 Olive View Drive, North Annex, Sylmar, CA 91342 Phone: 818-364-3632 | |
Caitlin G Reed, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 14445 Olive View Dr, Olive View-ucla Med Ctr, Dept Of Med, 2b-182, Sylmar, CA 91342 Phone: 818-364-3205 | |
Robert Nathan Titcher, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 14124 Foothill Blvd, Suite 100, Sylmar, CA 91342 Phone: 818-367-1012 Fax: 818-367-7570 | |
Robin Yvonne Wachsner, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 14445 Olive View Drive, Olive View Ucla Medical Center 2c-121, Sylmar, CA 91342 Phone: 818-364-4287 Fax: 818-364-4538 |