| Dr Mehran Sourehnissani, MD | |
|
3451 W Century Blvd, B-1, Inglewood, CA 90303-1227 | |
| (310) 677-9400 | |
| (310) 677-9402 |
| Full Name | Dr Mehran Sourehnissani |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 3451 W Century Blvd, Inglewood, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992745285 | NPI | - | NPPES |
| 00A681960 | Medicaid | CA | |
| WA68196D | Other | CA | WA68196D MEDICARE INDIVIDUAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A68196 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centinela Hospital Medical Center | Inglewood, CA | Hospital |
| Good Samaritan Hospital | Los angeles, CA | Hospital |
| California Hospital Medical Center La | Los angeles, CA | Hospital |
| Alvarado Care Center | Los angeles, CA | Nursing home |
| Hawthorne Healthcare & Wellness Centre, Lp | Hawthorne, CA | Nursing home |
| Manchester Manor Conv Hospital | Los angeles, CA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centinela Hospitalist Medical Group Inc | 3274696810 | 9 |
| Century Medical Center ,a Professional Corporation | 8729056189 | 2 |
| Entity Name | Century Medical Center ,a Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528270147 PECOS PAC ID: 8729056189 Enrollment ID: O20040922001257 |
| Entity Name | Centinela Hospitalist Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144493461 PECOS PAC ID: 3274696810 Enrollment ID: O20090108000466 |
| Entity Name | Wound Doctors |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679293724 PECOS PAC ID: 9032585088 Enrollment ID: O20221017003225 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mehran Sourehnissani, MD 3451 W Century Blvd, B-1, Inglewood, CA 90303-1227 Ph: (310) 677-9400 | Dr Mehran Sourehnissani, MD 3451 W Century Blvd, B-1, Inglewood, CA 90303-1227 Ph: (310) 677-9400 |
Dr. David Farahmand Razi, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 3451 W Century Blvd, Inglewood, CA 90303 Phone: 310-677-9400 | |
Soheil P Hekmat, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 511 E Manchester Blvd, Inglewood, CA 90301 Phone: 310-672-9000 Fax: 310-672-9030 | |
Christopher Woehrstein, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 N Prairie Ave, Suite #334, Inglewood, CA 90301 Phone: 310-674-8600 | |
Titfany Wang, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 133 N Prairie Ave Ste C, Inglewood, CA 90301 Phone: 800-871-8890 | |
John Samy Farag, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 336 E Hillcrest Blvd, Suite 104, Inglewood, CA 90301 Phone: 310-419-9999 Fax: 310-419-9199 | |
Jamshid Niknam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 S La Brea Ave Ste 205, Inglewood, CA 90301 Phone: 310-275-7575 Fax: 310-424-3404 | |
Stella Marie Feld, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 N Prairie Ave, Ste 334, Inglewood, CA 90301 Phone: 310-674-8600 Fax: 310-671-9883 |