| Dr Jordan John Michelena, MD | |
|
4477 Whittier Blvd, Los Angeles, CA 90022-1535 | |
| (323) 264-2890 | |
| Not Available |
| Full Name | Dr Jordan John Michelena |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 19 Years |
| Location | 4477 Whittier Blvd, Los Angeles, 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 |
|---|---|---|---|
| 1396891057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A101937 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Mayo Newhall Clinics Llc | 7911236047 | 8 |
| Behavioral Health Services Inc. | 8729142146 | 10 |
| Entity Name | Michael Gitter, Md, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265668784 PECOS PAC ID: 2769526037 Enrollment ID: O20100224000670 |
| Entity Name | Scct Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952878795 PECOS PAC ID: 4183978026 Enrollment ID: O20181113002226 |
| Entity Name | Henry Mayo Newhall Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306498829 PECOS PAC ID: 7911236047 Enrollment ID: O20190913002662 |
| Entity Name | Henry Mayo Newhall Urgent Care Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841841038 PECOS PAC ID: 8820454291 Enrollment ID: O20230510002361 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan John Michelena, MD 4477 Whittier Blvd, Los Angeles, CA 90022-1535 Ph: (323) 264-2890 | Dr Jordan John Michelena, MD 4477 Whittier Blvd, Los Angeles, CA 90022-1535 Ph: (323) 264-2890 |
Jason Aguirre, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1516 Sawtelle Blvd, Los Angeles, CA 90025 Phone: 310-445-5999 | |
Joong Y Park, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3511 W Olympic Bl, #101, Los Angeles, CA 90019 Phone: 323-766-1057 Fax: 323-766-8790 | |
Tit S Li, MD General Practice Medicare: Medicare Enrolled Practice Location: 819 W Cesar E Chavez Ave, Los Angeles, CA 90012 Phone: 213-613-1255 Fax: 213-613-1256 | |
Miss Hui Wu, M.D General Practice Medicare: Medicare Enrolled Practice Location: 2975 Wilshire Blvd, #103, Los Angeles, CA 90010 Phone: 213-736-0450 | |
Enrique Jose Gonzalez, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 321 S Mednik Ave, Los Angeles, CA 90022 Phone: 323-261-4706 Fax: 323-261-4124 | |
Dr. Shivangi Amin, General Practice Medicare: Not Enrolled in Medicare Practice Location: 701 N Alvarado St, Los Angeles, CA 90026 Phone: 213-908-5008 | |
Dr. Charles Ikechukwu Okoye, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 4405 S Main St, Los Angeles, CA 90037 Phone: 323-231-0659 |