Linda M Ercoli, PHD is a
Psychologist - Clinical physician based in Los Angeles, California. Linda M Ercoli is licensed to practice in California (license number PSY15935) and her current practice location is 760 Westwood Plz Ste 38-239, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(310) 825-9208.
NPI number for Linda M Ercoli is 1821104522 and her current mailing address is 5767 W Century Blvd, Suite 400, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821104522.
Physician's Profile
| Full Name | Linda M Ercoli |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 760 Westwood Plz Ste 38-239, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821104522
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 07/16/2024
Medical Identifiers
Medical identifiers for Linda M Ercoli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821104522 | NPI | - | NPPES |
| PSY159350 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | PSY15935 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY15935 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Linda M Ercoli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Linda M Ercoli, PHD
5767 W Century Blvd, Suite 400,
Los Angeles, CA 90045-5631
Ph: (310) 825-9989 | Linda M Ercoli, PHD
760 Westwood Plz Ste 38-239,
Los Angeles, CA 90024-5055
Ph: (310) 825-9208 |
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