| Dr Kirsten Elizabeth Mewaldt, MD | |
|
4650 Lincoln Blvd, Unit #1604, Marina Del Rey, CA 90292-6306 | |
| (626) 354-4874 | |
| (650) 723-0121 |
| Full Name | Dr Kirsten Elizabeth Mewaldt |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 4650 Lincoln Blvd, Marina Del Rey, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659403228 | NPI | - | NPPES |
| 0A1037170 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A103717 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cedar-sinai Marina Del Rey Hospital | Marina del rey, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ridgeline Emergency Physicians Medical Group, Inc. | 0345521613 | 21 |
| Entity Name | Mission Viejo Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073542916 PECOS PAC ID: 2163335241 Enrollment ID: O20031106000308 |
| Entity Name | Mission Viejo Emergency Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134355597 PECOS PAC ID: 7315090271 Enrollment ID: O20090725000046 |
| Entity Name | Golden State Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770886558 PECOS PAC ID: 4981885951 Enrollment ID: O20110223001018 |
| Entity Name | Ridgeline Emergency Physicians Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972953230 PECOS PAC ID: 0345521613 Enrollment ID: O20161228000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kirsten Elizabeth Mewaldt, MD 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 Ph: (310) 448-5200 | Dr Kirsten Elizabeth Mewaldt, MD 4650 Lincoln Blvd, Unit #1604, Marina Del Rey, CA 90292-6306 Ph: (626) 354-4874 |
Dr. Edward J. Chung, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4560 Admiralty Way, 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379 | |
Dr. Seth Adam Brener, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 | |
Barry J Borm, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911 | |
Dr. Timothy C Bullard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 108-273-7003 | |
Paula Gonella, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911 | |
Ryan Yavorsky, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379 |