| Dr Sherri Peace, MD | |
|
8930 S Sepulveda Blvd, Suite 104, Los Angeles, CA 90045-3606 | |
| (310) 645-6001 | |
| (310) 645-5919 |
| Full Name | Dr Sherri Peace |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 35 Years |
| Location | 8930 S Sepulveda Blvd, Los Angeles, 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 |
|---|---|---|---|
| 1962549279 | NPI | - | NPPES |
| 00G721960 | Medicaid | CA | |
| G72196 | Other | CA | BLUE CROSS PROVIDER # |
| 05D0966774 | Other | CA | CLIA # |
| 00G721960 | Other | CA | BLUE SHIELD PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | G72196 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Irradiance Medical Group Inc | 2860534864 | 4 |
| Skin And Beauty Center Inc | 8628170347 | 29 |
| Entity Name | Sherri Peace Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407043680 PECOS PAC ID: 6507827441 Enrollment ID: O20041022001159 |
| Entity Name | Skin And Beauty Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073751129 PECOS PAC ID: 8628170347 Enrollment ID: O20070227000738 |
| Entity Name | Irradiance Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213198 PECOS PAC ID: 2860534864 Enrollment ID: O20100128000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sherri Peace, MD 8930 S Sepulveda Blvd, Suite 104, Los Angeles, CA 90045-3606 Ph: (310) 645-6001 | Dr Sherri Peace, MD 8930 S Sepulveda Blvd, Suite 104, Los Angeles, CA 90045-3606 Ph: (310) 645-6001 |
Nada M Elbuluk, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Ste 2000, Los Angeles, CA 90033 Phone: 323-442-6200 | |
Yen Tun Wang, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 888 S Figueroa St Ste 1050, Los Angeles, CA 90017 Phone: 213-319-3339 Fax: 213-408-4414 | |
Leonard H Kim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2080 Century Park E Ste 401, Los Angeles, CA 90067 Phone: 310-289-0009 Fax: 844-331-1307 | |
Rachael Lynn Cayce, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1127 Wilshire Blvd, Ste 600, Los Angeles, CA 90017 Phone: 213-278-0021 Fax: 213-278-0973 | |
Dr. Neda R Black, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1441 Eastlake Ave, Topping Tower, Suite 3405, Los Angeles, CA 90089 Phone: 818-634-2514 | |
Marie-josee Thibault, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 5767 W Century Blvd, Suite 200, Los Angeles, CA 90045 Phone: 310-301-8708 Fax: 310-301-8751 | |
Dr. Kiyoung Yoo, MD Dermatology Medicare: Medicare Enrolled Practice Location: Ucla Dermatology 52-121 Chs 10833 Le Conte, Los Angeles, CA 90095 Phone: 310-825-5420 |