| David Allan Brousseau, MD | |
|
10833 Le Conte Ave, Los Angeles, CA 90095-3075 | |
| (310) 301-6219 | |
| (310) 301-8751 |
| Full Name | David Allan Brousseau |
|---|---|
| Gender | Male |
| Speciality | Radiology - Body Imaging |
| Location | 10833 Le Conte Ave, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598710857 | NPI | - | NPPES |
| 00G820880 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | G82088 (California) | Secondary |
| 2085B0100X | Radiology - Body Imaging | G82088 (California) | Primary |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20031106000784 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20040202001145 |
| Entity Name | Pronet Imaging Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528099488 PECOS PAC ID: 5890722755 Enrollment ID: O20050721000831 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20060221000914 |
| Entity Name | San Fernando Valley Interventional Radiology And Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942350889 PECOS PAC ID: 3476651431 Enrollment ID: O20070614000478 |
| Entity Name | Emeryville Advanced Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376597930 PECOS PAC ID: 3375637051 Enrollment ID: O20070926000354 |
| Mailing Address | Practice Location Address |
|---|---|
| David Allan Brousseau, MD 5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5631 Ph: (310) 301-8708 | David Allan Brousseau, MD 10833 Le Conte Ave, Los Angeles, CA 90095-3075 Ph: (310) 301-6219 |
Dr. Jiewen Li, DO Radiology Medicare: Medicare Enrolled Practice Location: 125 1/2 S Avenue 60, Los Angeles, CA 90042 Phone: 216-370-8300 | |
Alexander Boyarko, Radiology Medicare: Not Enrolled in Medicare Practice Location: 11980 Walnut Ln Apt 18, Los Angeles, CA 90025 Phone: 303-437-5230 | |
Doron Ben Avi, MD Radiology Medicare: Medicare Enrolled Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459 | |
Hsin Y Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-4721 | |
Colin J. Wells, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-301-6800 | |
Eric Allan White, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-8541 Fax: 323-442-8755 | |
Dr. Lloyd Edward Greaser Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Department Of Radiology, Los Angeles, CA 90095 Phone: 310-825-4321 |