| Dr Dmitriy Romanenko, MD, | |
|
5831 Firestone Blvd Ste E, South Gate, CA 90280-3718 | |
| (323) 240-1938 | |
| Not Available |
| Full Name | Dr Dmitriy Romanenko |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 30 Years |
| Location | 5831 Firestone Blvd Ste E, South Gate, 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 |
|---|---|---|---|
| 1881894715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A94512 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diaz Medical Group Inc | 1052707403 | 4 |
| Valley Vita Medical Center Inc | 1658285911 | 3 |
| Entity Name | Valley Vita Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003857434 PECOS PAC ID: 1658285911 Enrollment ID: O20031119000552 |
| Entity Name | Complete Care Community Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215113964 PECOS PAC ID: 3779494190 Enrollment ID: O20080521000478 |
| Entity Name | Diaz Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669139945 PECOS PAC ID: 1052707403 Enrollment ID: O20220412000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dmitriy Romanenko, MD, 7660 Beverly Blvd, #348, Los Angeles, CA 90036-2757 Ph: (323) 240-1938 | Dr Dmitriy Romanenko, MD, 5831 Firestone Blvd Ste E, South Gate, CA 90280-3718 Ph: (323) 240-1938 |
Jorge Francisco Carreon, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4500 Tweedy Blvd, South Gate, CA 90280 Phone: 323-567-9661 Fax: 323-567-9663 | |
Huong Giang Nghiem-eilbeck, MD, MPH Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 8627 Atlantic Ave, South Gate, CA 90280 Phone: 888-499-9303 |