| Larry T Halem, MD | |
|
1250 16th St, Emergency Department, Santa Monica, CA 90404-1249 | |
| (310) 319-4000 | |
| Not Available |
| Full Name | Larry T Halem |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 23 Years |
| Location | 1250 16th St, Santa Monica, 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 |
|---|---|---|---|
| 1568574937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A89000 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Martin Luther King, Jr. Community Hospital | Los angeles, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vep Mlk Emergency Medical Group Inc | 2860707304 | 17 |
| Capital Hospitalist Medical Group Inc | 8921308636 | 27 |
| Entity Name | Boulevard Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437551033 PECOS PAC ID: 6507847266 Enrollment ID: O20150717000502 |
| Entity Name | Vep Mlk Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841679289 PECOS PAC ID: 2860707304 Enrollment ID: O20150813009584 |
| Entity Name | Capital Hospitalist Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992178222 PECOS PAC ID: 8921308636 Enrollment ID: O20151202002282 |
| Entity Name | Grand Avenue Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962913632 PECOS PAC ID: 7315206653 Enrollment ID: O20180112002313 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry T Halem, MD 4551 Glencoe Ave, Suite 260, Marina Del Rey, CA 90292-6385 Ph: (310) 301-2030 | Larry T Halem, MD 1250 16th St, Emergency Department, Santa Monica, CA 90404-1249 Ph: (310) 319-4000 |
William Shyy, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Edward S Cotner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1328 Twenty Second Street, Santa Monica, CA 90404 Phone: 310-582-7089 | |
Walid H. Ghurabi, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Emergency Department, Santa Monica, CA 90404 Phone: 310-319-4000 | |
Dr. Michael Jeffrey Weitz, MD. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1328 Twenty Second St, Santa Monica, CA 90404 Phone: 310-582-7089 | |
Dr. Robert Lee Hook Iii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Ms. Rosemarie Bustos Diaz, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Amy L Kijner, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-582-7089 |