| Maged S Mikhail, MD | |
|
18344 Clark Street, Suite #202, Tarzana, CA 91356-2812 | |
| (818) 654-0520 | |
| (818) 654-0520 |
| Full Name | Maged S Mikhail |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 45 Years |
| Location | 18344 Clark Street, Tarzana, 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 |
|---|---|---|---|
| 1316978299 | NPI | - | NPPES |
| 00G453670 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | G45367 (California) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | G45367 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West La Medical Group | 1658735568 | 3 |
| Entity Name | Pacific Valley Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851312862 PECOS PAC ID: 3577465368 Enrollment ID: O20040122000762 |
| Entity Name | Tarzana Anesthesia Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508897463 PECOS PAC ID: 2668512914 Enrollment ID: O20091216000556 |
| Entity Name | West La Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598462749 PECOS PAC ID: 1658735568 Enrollment ID: O20230911004167 |
| Mailing Address | Practice Location Address |
|---|---|
| Maged S Mikhail, MD Po Box 573446, Tarzana, CA 91357-3446 Ph: (818) 654-0520 | Maged S Mikhail, MD 18344 Clark Street, Suite #202, Tarzana, CA 91356-2812 Ph: (818) 654-0520 |
Robert A Harwood, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-887-7375 Fax: 818-887-7375 | |
Sam A Ebrahimi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 18375 Ventura Blvd, Suite# 404, Tarzana, CA 91356 Phone: 818-422-5322 | |
Dr. Mudjianto Chandra, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 18370 Burbank Blvd, Suite 607, Tarzana, CA 91356 Phone: 818-709-8161 Fax: 818-709-8160 | |
Cameron James St. Hilaire, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 18840 Ventura Blvd Ste 100a, Tarzana, CA 91356 Phone: 818-345-6126 Fax: 818-345-5061 | |
Mr. Peteris Bormanis, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4933 Matula Dr, Tarzana, CA 91356 Phone: 818-344-6939 | |
Dr. David Sievers, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 18370 Burbank Blvd, Suite 607, Tarzana, CA 91356 Phone: 818-342-2123 Fax: 818-709-8160 | |
Dr. Raymond Rivera, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5525 Etiwanda Ave, Suite 222, Tarzana, CA 91356 Phone: 818-345-9600 |