| Dr Vimal J Ponnezhan, MD | |
|
4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | |
| (323) 267-0477 | |
| Not Available |
| Full Name | Dr Vimal J Ponnezhan |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 20 Years |
| Location | 4081 E Olympic Blvd, 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 |
|---|---|---|---|
| 1366653354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301087977 (Michigan) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | A116214 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakewood Regional Medical Center | Lakewood, CA | Hospital |
| Usc Verdugo Hills Hospital | Glendale, CA | Hospital |
| Methodist Hospital Of Southern Ca | Arcadia, CA | Hospital |
| Huntington Memorial Hospital | Pasadena, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Critical Care Consultants Corporation | 1759767338 | 3 |
| Prohealth Partners, A Medical Group | 2769388412 | 237 |
| Foothill Pulmonary And Critical Care Consultants Medical Group Inc. | 9234172891 | 7 |
| Entity Name | Prohealth Partners, A Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003949975 PECOS PAC ID: 2769388412 Enrollment ID: O20031211000927 |
| Entity Name | Foothill Pulmonary & Critical Care Consultants Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205862489 PECOS PAC ID: 9234172891 Enrollment ID: O20050603001043 |
| Entity Name | American Critical Care Consultants Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336868215 PECOS PAC ID: 1759767338 Enrollment ID: O20221005001258 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vimal J Ponnezhan, MD 3579 E Foothill Blvd Ste 432, Pasadena, CA 91107-3119 Ph: (310) 422-3000 | Dr Vimal J Ponnezhan, MD 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 Ph: (323) 267-0477 |
Dr. Linda Fong, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-3290 | |
Dr. Robert Peter Gale, Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 11693 San Vicente Blvd, Suite 335, Los Angeles, CA 90049 Phone: 310-442-9010 | |
Dr. Tarek Alasil, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 8616 La Tijera Blvd Ste 404, Los Angeles, CA 90045 Phone: 310-673-2020 Fax: 310-469-5290 | |
David Michael Tellalian, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 465w, Los Angeles, CA 90048 Phone: 310-358-2300 Fax: 310-358-2308 | |
Dr. Jan B King, M.D., M.P.H. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 11833 Wilmington Ave Fl 2, Los Angeles, CA 90059 Phone: 323-568-8701 | |
Dr. Caroline Hwang, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033 Phone: 323-442-5100 | |
Dr. Jennifer A Fulcher, M.D., PH.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Chs 37-121, Los Angeles, CA 90095 Phone: 310-825-7225 |