| Miriam C Padilla, MD | |
|
604 Rose Ave, Venice, CA 90291-2767 | |
| (310) 664-7600 | |
| Not Available |
| Full Name | Miriam C Padilla |
|---|---|
| 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 |
|---|---|---|---|
| 1104833979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A89196 (California) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Physician Group Of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam C Padilla, MD 604 Rose Ave, Venice, CA 90291-2767 Ph: (310) 664-7600 | Miriam C Padilla, 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 | |
Dr. Mitesh G Popat, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 | |
Susan Mojdeh Partovi, M.D. Family Medicine Medicare: May Accept Medicare Assignments 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 | |
Dr. Fatima Yousef Hussein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Lincoln Blvd Suite #100, Venice, CA 90291 Phone: 310-697-8126 |