| Dr Shahram Beroukhim, MD | |
|
10389 Keswick Ave, Los Angeles, CA 90064-2557 | |
| (310) 413-2292 | |
| Not Available |
| Full Name | Dr Shahram Beroukhim |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 20 Years |
| Location | 10389 Keswick Ave, Los Angeles, 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 |
|---|---|---|---|
| 1356581482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A96801 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Simi Valley | Simi valley, CA | Hospital |
| White Memorial Medical Center | Los angeles, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Simi Valley Anesthesia Medical Group | 2062454804 | 20 |
| White Memorial Medical Center | 4486622362 | 54 |
| 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 |
| Entity Name | Simi Valley Anesthesia Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912936709 PECOS PAC ID: 2062454804 Enrollment ID: O20050523000866 |
| Entity Name | Consultants For Anesthesia & Management Of Pain |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952323909 PECOS PAC ID: 3870539521 Enrollment ID: O20050701000886 |
| Entity Name | White Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215927470 PECOS PAC ID: 4486622362 Enrollment ID: O20100625000830 |
| Entity Name | Westside Anesthesia Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528381704 PECOS PAC ID: 2860684248 Enrollment ID: O20101004000677 |
| Entity Name | Glendale Adventist Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831188275 PECOS PAC ID: 4284692096 Enrollment ID: O20110510000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shahram Beroukhim, MD 10389 Keswick Ave, Los Angeles, CA 90064-2557 Ph: () - | Dr Shahram Beroukhim, MD 10389 Keswick Ave, Los Angeles, CA 90064-2557 Ph: (310) 413-2292 |
Glory Cabanilla Tancinco, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6245 De Longpre Ave, Los Angeles, CA 90028 Phone: 234-622-2713 | |
Dr. Ernest Shmidt, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 6245 De Longpre Ave, Los Angeles, CA 90028 Phone: 323-462-2271 | |
Dr. Thiendang Viet Nguyen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, #14-901, Los Angeles, CA 90033 Phone: 323-409-7748 | |
Catherine Cha, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-8041 Fax: 310-267-3766 | |
Mariya Svilik, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz Ste 3325, Los Angeles, CA 90095 Phone: 310-267-8626 Fax: 310-267-3899 | |
Dr. Phil Orallo Castillo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Room 14-901, Los Angeles, CA 90033 Phone: 323-226-4597 Fax: 323-226-2794 | |
Alma Luna Wells, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3160 Geneva St, Los Angeles, CA 90020 Phone: 818-813-4061 |