| Erich Lewen Wieshofer, MD | |
|
1250 16th St, Santa Monica, CA 90404-1249 | |
| (310) 794-7700 | |
| Not Available |
| Full Name | Erich Lewen Wieshofer |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 6 Years |
| Location | 1250 16th St, Santa Monica, 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 |
|---|---|---|---|
| 1972131944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A181504 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa monica, CA | Hospital |
| West Hills Hospital & Medical Center | West hills, CA | Hospital |
| Antelope Valley Hospital | Lancaster, CA | Hospital |
| Kaiser Foundation Hospital - Panorama City | Panorama city, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Antelope Valley Emergency Medical Associates Inc | 7517851959 | 31 |
| 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 | Regents Of The Univ Of Ca Emer Med |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104889138 PECOS PAC ID: 4284538521 Enrollment ID: O20031119001020 |
| Entity Name | Antelope Valley Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225054257 PECOS PAC ID: 7517851959 Enrollment ID: O20040209000520 |
| Entity Name | Victory Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932402716 PECOS PAC ID: 9133301732 Enrollment ID: O20110302000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Erich Lewen Wieshofer, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Erich Lewen Wieshofer, MD 1250 16th St, Santa Monica, CA 90404-1249 Ph: (310) 794-7700 |
William Shyy, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Edward S Cotner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1328 Twenty Second Street, Santa Monica, CA 90404 Phone: 310-582-7089 | |
Walid H. Ghurabi, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Emergency Department, Santa Monica, CA 90404 Phone: 310-319-4000 | |
Dr. Michael Jeffrey Weitz, MD. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1328 Twenty Second St, Santa Monica, CA 90404 Phone: 310-582-7089 | |
Dr. Robert Lee Hook Iii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Ms. Rosemarie Bustos Diaz, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Amy L Kijner, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-582-7089 |