| Benjamin Behroozan, MD | |
|
2221 Lincoln Blvd # 200, Santa Monica, CA 90405-1320 | |
| (310) 396-9999 | |
| (310) 664-8901 |
| Full Name | Benjamin Behroozan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2221 Lincoln Blvd # 200, Santa Monica, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750440681 | NPI | - | NPPES |
| 00A413741 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A41374 (California) | Primary |
| Entity Name | Benjamin Behroozan M D Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639234362 PECOS PAC ID: 3870544034 Enrollment ID: O20050204000133 |
| Entity Name | Janesri De Silva M.d. A Prof Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326278490 PECOS PAC ID: 8527482561 Enrollment ID: O20200722003691 |
| Entity Name | Healthylife Mg Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184489684 PECOS PAC ID: 8224560578 Enrollment ID: O20241011002290 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Behroozan, MD 2221 Lincoln Blvd # 200, Santa Monica, CA 90405-1320 Ph: (310) 396-9999 | Benjamin Behroozan, MD 2221 Lincoln Blvd # 200, Santa Monica, CA 90405-1320 Ph: (310) 396-9999 |
Dr. Jamie Ann Elson-wolin, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2121 Wilshire Blvd, Suite 306, Santa Monica, CA 90403 Phone: 310-264-0765 Fax: 310-829-0765 | |
Dr. Patricia Yee-ling Chang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1131 Wilshire Blvd, Suite 300, Santa Monica, CA 90401 Phone: 310-395-5588 | |
Meron Abreham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404 Phone: 310-319-4700 | |
Martin Louis Alpert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Wilshire Blvd Ste 810, Santa Monica, CA 90403 Phone: 310-393-0739 Fax: 310-395-2063 | |
Olivia Taeko Ishibashi, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404 Phone: 310-319-4711 | |
Dr. Shane Alan Hervey, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1225 15th St Ste 2100, Santa Monica, CA 90404 Phone: 310-319-1234 | |
Edison Victor De Mello, MD PHD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Arizona Avenue, Santa Monica, CA 90401 Phone: 310-451-8880 Fax: 310-451-8803 |