| Kellie Kitamura, | |
|
757 Westwood Plz Ste 1517, Los Angeles, CA 90095-2924 | |
| (310) 267-3710 | |
| (310) 794-0599 |
| Full Name | Kellie Kitamura |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 757 Westwood Plz Ste 1517, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366837502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 147417 (California) | Primary |
| 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 | County Of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Kitamura, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Kellie Kitamura, 757 Westwood Plz Ste 1517, Los Angeles, CA 90095-2924 Ph: (310) 267-3710 |
Dr. Kenneth Taeyoung Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Glendon Ave Ste 1200, Los Angeles, CA 90024 Phone: 310-794-0785 | |
Dr. Sean Emerson Treacy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz Ste 1517, Los Angeles, CA 90095 Phone: 310-825-2111 | |
Dr. Tiffany Hackett, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-967-1884 Fax: 310-967-1744 | |
Brennen J. Beatty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Matthew S. Berry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Phillip Gruber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-6667 | |
Daniel Weingrow, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-2111 |