| Luke A Conovaloff, MD | |
|
4101 Torrance Blvd, Em Dept, Torrance, CA 90503-4607 | |
| (310) 540-7676 | |
| (405) 749-4561 |
| Full Name | Luke A Conovaloff |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 4101 Torrance Blvd, Torrance, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285690362 | NPI | - | NPPES |
| P00107714 | Other | CA | RR MEDICARE |
| 00G319920 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G31992 (California) | Primary |
| Entity Name | Providence Facey Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
| Entity Name | Exer Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588901532 PECOS PAC ID: 9032359534 Enrollment ID: O20130705000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Luke A Conovaloff, MD 4401 W Memorial Rd, Suite 121, Oklahoma City, OK 73134-1785 Ph: (405) 751-4664 | Luke A Conovaloff, MD 4101 Torrance Blvd, Em Dept, Torrance, CA 90503-4607 Ph: (310) 540-7676 |
Dr. Gina L Sulmeyer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3330 Lomita Blvd, Torrance, CA 90505 Phone: 310-517-4785 | |
Dr. Manpreet Singh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-3501 Fax: 310-782-1763 | |
Ryan Gleber, MD, BS Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3330 Lomita Blvd, Torrance, CA 90505 Phone: 310-325-9110 | |
Dr. Daena Sarah Watcha, MD, MS Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-3501 Fax: 310-782-1763 | |
Mary Sun, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3330 Lomita Blvd, Dept Of Emergency Medicine, Torrance, CA 90505 Phone: 310-717-6381 | |
Robert L.r. Gibbs, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 24325 Crenshaw Blvd, # 283, Torrance, CA 90505 Phone: 424-777-6642 Fax: 877-223-4535 | |
Dr. Shannon M Stacy, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3330 Lomita Blvd, Torrance Memorial Medical Center, Torrance, CA 90505 Phone: 310-325-9110 |