| Dr Mauricio De La Lama, MD | |
|
8700 Beverly Blvd, West Hollywood, CA 90048-1804 | |
| (310) 423-6500 | |
| Not Available |
| Full Name | Dr Mauricio De La Lama |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 8700 Beverly Blvd, West Hollywood, 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 |
|---|---|---|---|
| 1669778056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A121020 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Saint Joseph Medical Ctr | Burbank, CA | Hospital |
| Glendale Mem Hospital & Hlth Center | Glendale, CA | Hospital |
| Northridge Hospital Medical Center | Northridge, CA | Hospital |
| St Mary Medical Center | Long beach, CA | Hospital |
| Ventura County Medical Center | Ventura, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Golden State Imaging Associates Inc | 1254761315 | 194 |
| Renaissance Imaging Medical Associates Inc | 7315841756 | 119 |
| Entity Name | Renaissance Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20031126000257 |
| Entity Name | Mink Radiologic Imaging Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485015 PECOS PAC ID: 9335035195 Enrollment ID: O20040226001251 |
| Entity Name | Golden State Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200414001788 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mauricio De La Lama, MD 400 E 71st St, 4a, New York, NY 10021-4808 Ph: (312) 213-0200 | Dr Mauricio De La Lama, MD 8700 Beverly Blvd, West Hollywood, CA 90048-1804 Ph: (310) 423-6500 |
Dr. Michael Ellerin David, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd # M-335, West Hollywood, CA 90048 Phone: 310-423-3095 | |
Sudhir Kunchala, Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-6500 | |
Dr. Kevin Frederick Seals, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-6500 | |
Eric M Chung, Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8030 Fax: 310-659-3332 | |
Dr. Julie Kau Jang, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-4208 | |
Dr. Evan C Norris, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-6500 | |
Dr. Michael D Katz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-6500 |