| David Haim Bolour, MD | |
|
604 Rose Ave, Venice, CA 90291-2767 | |
| (323) 383-5322 | |
| Not Available |
| Full Name | David Haim Bolour |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 604 Rose Ave, Venice, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326308495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A136515 (California) | Primary |
| Entity Name | Venice Family Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669418513 PECOS PAC ID: 2264339126 Enrollment ID: O20031217001082 |
| Entity Name | St. John's Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434 |
| Mailing Address | Practice Location Address |
|---|---|
| David Haim Bolour, MD 604 Rose Ave, Venice, CA 90291-2767 Ph: (323) 383-5322 | David Haim Bolour, MD 604 Rose Ave, Venice, CA 90291-2767 Ph: (323) 383-5322 |
Dr. Nancy Steiner, Pediatrics Medicare: Medicare Enrolled Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-664-7532 | |
Dr. Victor Hugo Perez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8630 | |
Wendelin Margaret Slusser, M.D., M.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8630 |