| Dr Khodam Rostomian, MD | |
|
13652 Cantara St, Panorama City, CA 91402-5423 | |
| (818) 375-2000 | |
| Not Available |
| Full Name | Dr Khodam Rostomian |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 13652 Cantara St, Panorama City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295806263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | G77123 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Khodam Rostomian, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 | Dr Khodam Rostomian, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 |
Ani Khondkaryan, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-6059 | |
Navid Khodadadi, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Margaret Sophia Spencer, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Laurence N. Roer, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Magdalena Kula Manchee, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Dr. Shivani Gupta, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Building 2, Panorama City, CA 91402 Phone: 818-375-1750 | |
Dr. Julie Shawki, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-3000 |