| Katherine Laura Widnell, MD, PHD | |
|
2625 W Alameda Ave Ste 322, Burbank, CA 91505-4822 | |
| (818) 843-9043 | |
| Not Available |
| Full Name | Katherine Laura Widnell |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 29 Years |
| Location | 2625 W Alameda Ave Ste 322, Burbank, 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 |
|---|---|---|---|
| 1295777100 | NPI | - | NPPES |
| 34632300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | C141716 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa monica, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regents Of The University Of California Los Angeles | 4587857727 | 70 |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Entity Name | Regents Of The University Of California Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609194497 PECOS PAC ID: 4587857727 Enrollment ID: O20101020001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Laura Widnell, MD, PHD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Katherine Laura Widnell, MD, PHD 2625 W Alameda Ave Ste 322, Burbank, CA 91505-4822 Ph: (818) 843-9043 |
Roya Lewis, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2701 W Alameda Ave, Suite 503, Burbank, CA 91505 Phone: 818-845-0088 Fax: 818-845-0924 | |
Terrence Yao Tian, DO, MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2625 W Alameda Ave Ste 400, Burbank, CA 91505 Phone: 818-260-8733 | |
Dr. Margarita Oveian, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 501 S Buena Vista St, 1 North Outpatient Neuro Clinic, Burbank, CA 91505 Phone: 818-847-4622 | |
Kristina Purganan, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4323 W Riverside Dr, Burbank, CA 91505 Phone: 310-301-7396 Fax: 310-828-5165 | |
Dr. Briana Moore Poynor, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-847-6049 Fax: 818-847-4842 | |
Alexander Dusovich, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2701 W Alameda Ave, #503, Burbank, CA 91505 Phone: 818-845-0088 Fax: 818-845-0924 | |
Dr. Michael M Marvi, MD, MS Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 501 S Buena Vista St, Neuroscience Institute, First Floor, Burbank, CA 91505 Phone: 818-847-3271 Fax: 818-847-4842 |