| Mary Eno, MD | |
|
604 Rose Ave, Venice, CA 90291-2767 | |
| (310) 664-7600 | |
| Not Available |
| Full Name | Mary Eno |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 604 Rose Ave, Venice, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306853403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A87606 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Eno, MD 604 Rose Ave, Venice, CA 90291-2767 Ph: (310) 664-7600 | Mary Eno, MD 604 Rose Ave, Venice, CA 90291-2767 Ph: (310) 664-7600 |
Samantha Mohammad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 905 Venice Blvd, Venice, CA 90291 Phone: 310-392-8636 Fax: 310-943-3521 | |
Alexander Pappas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 | |
Patty P. Pinanong, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8630 | |
Dr. Mitesh G Popat, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 | |
Miriam C Padilla, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-664-7600 | |
Susan Mojdeh Partovi, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8630 | |
Coley M King, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 604 Rosse Ave., Venice, CA 90291 Phone: 310-392-8630 |