| James Ira Wallstrom, MD | |
|
1809 Verdugo Blvd Ste 350, Glendale, CA 91208-1476 | |
| (818) 790-0914 | |
| (818) 790-2816 |
| Full Name | James Ira Wallstrom |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 1809 Verdugo Blvd Ste 350, Glendale, 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 |
|---|---|---|---|
| 1710927025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G74317 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Verdugo Hills Home Care, Inc | La crescenta, CA | Home health agency |
| Usc Verdugo Hills Hospital | Glendale, CA | Hospital |
| Glendale Adventist Medical Center | Glendale, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Matthew Lew Md Inc | 0941746341 | 4 |
| Entity Name | Verdugo Internal Medicine A Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427149236 PECOS PAC ID: 2264583160 Enrollment ID: O20100208000496 |
| Entity Name | Matthew Lew Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730928516 PECOS PAC ID: 0941746341 Enrollment ID: O20240722002929 |
| Mailing Address | Practice Location Address |
|---|---|
| James Ira Wallstrom, MD 50 Bellefontaine St, Suite 205, Pasadena, CA 91105-3132 Ph: (626) 792-4115 | James Ira Wallstrom, MD 1809 Verdugo Blvd Ste 350, Glendale, CA 91208-1476 Ph: (818) 790-0914 |
Narineh Mariam Yermian, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 214 N Central Ave, Glendale, CA 91203 Phone: 818-246-8000 Fax: 951-486-5910 | |
Tigran Khachatryan, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 660 W Broadway, Glendale, CA 91204 Phone: 818-243-9600 | |
Dr. Jean-pierre E Antaki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 S Chevy Chase Dr, #105, Glendale, CA 91205 Phone: 818-242-5299 Fax: 818-637-7607 | |
Dr. Ellie Bloomfield, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1808 Verdugo Blvd, Suite 403, Glendale, CA 91208 Phone: 818-790-7098 Fax: 818-790-7099 | |
Edgar H Aleman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 Arden Ave, 410, Glendale, CA 91203 Phone: 818-242-4191 Fax: 818-242-4811 | |
Michael Eugene Klein, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1818 Verdugo Blvd, #300, Glendale, CA 91208 Phone: 818-952-5332 Fax: 818-790-6830 | |
Alen Mirzaian, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1818 Verdugo Blvd Ste 401, Glendale, CA 91208 Phone: 818-790-1145 |