| Dr Kamran Koochek, MD | |
|
4910 Van Nuys Blvd, Ste 108, Sherman Oaks, CA 91403-1757 | |
| (818) 986-4211 | |
| (818) 986-4215 |
| Full Name | Dr Kamran Koochek |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 4910 Van Nuys Blvd, Sherman Oaks, 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 |
|---|---|---|---|
| 1922049501 | NPI | - | NPPES |
| 00A778340 | Other | CA | BLUE SHIELD |
| 00A778340 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A77834 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glendale Diagnostic Imaging Network Medical Office Inc | 6305877051 | 3 |
| Entity Name | Glendale Diagnostic Imaging Network Medical Office Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902814759 PECOS PAC ID: 6305877051 Enrollment ID: O20050920000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kamran Koochek, MD 4910 Van Nuys Blvd, Ste 108, Sherman Oaks, CA 91403-1757 Ph: (818) 986-4211 | Dr Kamran Koochek, MD 4910 Van Nuys Blvd, Ste 108, Sherman Oaks, CA 91403-1757 Ph: (818) 986-4211 |
Leslie E Botnick, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5522 Sepulveda Blvd, Sherman Oaks, CA 91411 Phone: 818-997-1522 | |
Dr. David Ritchie, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4730 Woodman Ave Ste 300, Sherman Oaks, CA 91423 Phone: 747-208-8988 Fax: 747-247-2067 | |
Robert Mark Agulnek, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4929 Van Nuys Blvd, Sherman Oaks, CA 91403 Phone: 818-907-4530 | |
Dr. Ronny Kalash, Radiology Medicare: Accepting Medicare Assignments Practice Location: 5522 Sepulveda Blvd, Sherman Oaks, CA 91411 Phone: 818-997-1522 Fax: 818-997-0705 | |
Lawrence Harold Resnick, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 15335 Morrison St, Suite 304, Sherman Oaks, CA 91403 Phone: 818-528-3466 Fax: 818-528-3464 | |
Dr. April Vassantachart, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5522 Sepulveda Blvd, Sherman Oaks, CA 91411 Phone: 818-997-1522 Fax: 818-997-0705 |