| Frederic Bakhchi, MD | |
|
18370 Burbank Blvd Ste 307, Tarzana, CA 91356-2850 | |
| (818) 996-6000 | |
| (818) 996-4712 |
| Full Name | Frederic Bakhchi |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 18370 Burbank Blvd Ste 307, Tarzana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659558492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | C141416 (California) | Secondary |
| 208000000X | Pediatrics | 244842 (New York) | Primary |
| Entity Name | Emergency Specialist Physicians Medical Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518917913 PECOS PAC ID: 2163329822 Enrollment ID: O20031218001027 |
| Mailing Address | Practice Location Address |
|---|---|
| Frederic Bakhchi, MD 170 William St, 4th Floor, New York, NY 10038-2612 Ph: (212) 312-5761 | Frederic Bakhchi, MD 18370 Burbank Blvd Ste 307, Tarzana, CA 91356-2850 Ph: (818) 996-6000 |
Linda Lea Perl Adatto, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 18370 Burbank Blvd, Suite 307, Tarzana, CA 91356 Phone: 818-996-6000 Fax: 818-996-4712 | |
Dr. Larry Eisenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18372 Clark St, #216, Tarzana, CA 91356 Phone: 818-705-8559 Fax: 818-705-6475 | |
Jennifer Levy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-881-0800 | |
Anita Giselle Wright, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4003 Clarinda Dr, Tarzana, CA 91356 Phone: 818-262-0949 | |
Breahn Faye-merie Donaldson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18555 Ventura Blvd Ste B, Tarzana, CA 91356 Phone: 818-614-3088 | |
Malik Oscar White, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-881-0800 | |
Monica P Kandavel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 18370 Burbank Blvd, Suite 307, Tarzana, CA 91356 Phone: 818-996-6000 Fax: 818-996-4712 |