| Dr Lesley C Prince, MD | |
|
18460 Roscoe Blvd Fl 3, Northridge, CA 91325-4107 | |
| (818) 885-5480 | |
| (818) 993-1917 |
| Full Name | Dr Lesley C Prince |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 18 Years |
| Location | 18460 Roscoe Blvd Fl 3, Northridge, 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 |
|---|---|---|---|
| 1346569191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD224145 (Oregon) | Primary |
| 208M00000X | Hospitalist | A124531 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| La United Home Health Care, Inc. | Canoga park, CA | Home health agency |
| Vitas Healthcare Corporation Of California | Encino, CA | Hospice |
| Northridge Hospital Medical Center | Northridge, CA | Hospital |
| St Johns Regional Medical Center | Oxnard, CA | Hospital |
| Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
| Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1423 |
| Well Health Medical Group Apc | 5496251613 | 2 |
| Legacy Clinics Llc | 0244144004 | 714 |
| Galen Inpatient Physicians Pc | 3678464633 | 1045 |
| Dignity Health Medical Foundation | 7810800661 | 1211 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Legacy Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lesley C Prince, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: Not Available | Dr Lesley C Prince, MD 18460 Roscoe Blvd Fl 3, Northridge, CA 91325-4107 Ph: (818) 885-5480 |
Dr. Fares Rabadi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 18350 Roscoe Blvd, Suite 514, Northridge, CA 91325 Phone: 818-775-0519 Fax: 818-775-0943 |
Dr. Masoud M Azizad, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18433 Roscoe Blvd, #208, Northridge, CA 91325 Phone: 818-341-4401 Fax: 818-341-4402 |
Jean Grant Hawkins, MD FCCP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 18546 Roscoe Blvd, #308, Northridge, CA 91324 Phone: 818-349-2931 Fax: 818-349-7930 |
Arthur Jules Lazik, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19150 Ballinger St, Northridge, CA 91324 Phone: 818-993-0508 |
Dr. Richard Fernando Pego, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 17075 Devonshire Street, Suite 201, Northridge, CA 91325 Phone: 818-365-9595 Fax: 818-365-8955 |
George Sarka, MD, MPH, FACP, FACR Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 18111 Nordhoff St, Csun, Klotz Student Health Center, Northridge, CA 91330 Phone: 818-677-3666 Fax: 818-677-2304 |
Jerome Gary Davidson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-700-2336 Fax: 818-700-2337 |