| Keyvan Hariri, MD | |
|
1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 | |
| (310) 376-6262 | |
| (310) 376-8228 |
| Full Name | Keyvan Hariri |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 1010 N Sepulveda Blvd, Manhattan Beach, 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 |
|---|---|---|---|
| 1093754913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A90146 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Little Co Of Mary Med Ctr San Pedro | San pedro, CA | Hospital |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Institute | 5991609737 | 313 |
| Entity Name | Providence Medical Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910 |
| Mailing Address | Practice Location Address |
|---|---|
| Keyvan Hariri, MD 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 Ph: (310) 376-6262 | Keyvan Hariri, MD 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 Ph: (310) 376-6262 |
Dr. Jon Charles Malachowski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-376-6262 Fax: 310-376-8228 | |
Dr. Vidya Kiani Ramesh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 400 S Sepulveda Blvd, Suite 100, Manhattan Beach, CA 90266 Phone: 800-780-1230 | |
Usha Raval, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-376-6262 Fax: 310-376-8228 | |
David L Austin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2501 N Sepulveda Blvd Ste 100, Manhattan Beach, CA 90266 Phone: 310-546-4599 Fax: 310-796-4941 | |
Maria Lui, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Manhattan Beach Blvd, Suite 102, Manhattan Beach, CA 90266 Phone: 310-939-7858 Fax: 310-939-7842 | |
Lee Kissel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Manhattan Beach Blvd, Suite 102, Manhattan Beach, CA 90266 Phone: 310-939-7858 Fax: 310-939-7842 |