| Kraig L Golden, MD | |
|
4618 Fountain Ave, Los Angeles, CA 90029-1977 | |
| (323) 953-7170 | |
| Not Available |
| Full Name | Kraig L Golden |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 4618 Fountain Ave, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689713380 | NPI | - | NPPES |
| 00A600990 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A60099 (California) | Secondary |
| 207R00000X | Internal Medicine | 60099 (California) | Primary |
| Entity Name | Gracelight Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104075282 PECOS PAC ID: 3072619618 Enrollment ID: O20170425001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Kraig L Golden, MD 950 S Grand Ave Fl 2, Los Angeles, CA 90015-3999 Ph: (323) 669-4346 | Kraig L Golden, MD 4618 Fountain Ave, Los Angeles, CA 90029-1977 Ph: (323) 953-7170 |
Dr. Linda Fong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-3290 | |
Dr. Robert Peter Gale, Internal Medicine Medicare: Medicare Enrolled Practice Location: 11693 San Vicente Blvd, Suite 335, Los Angeles, CA 90049 Phone: 310-442-9010 | |
David Michael Tellalian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd St Ste 465w, Los Angeles, CA 90048 Phone: 310-358-2300 Fax: 310-358-2308 | |
Dr. Jan B King, M.D., M.P.H. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11833 Wilmington Ave Fl 2, Los Angeles, CA 90059 Phone: 323-568-8701 | |
Dr. Caroline Hwang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033 Phone: 323-442-5100 | |
Dr. Jennifer A Fulcher, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Chs 37-121, Los Angeles, CA 90095 Phone: 310-825-7225 | |
Dr. Ardavan Mashhadian, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 S Grand Ave Ste 100, Los Angeles, CA 90015 Phone: 213-537-0328 Fax: 213-210-2400 |