| Reza Fardanesh, | |
|
757 Westwood Plz, Los Angeles, CA 90095-3725 | |
| (310) 301-6800 | |
| (310) 794-9035 |
| Full Name | Reza Fardanesh |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 757 Westwood Plz, Los Angeles, 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 |
|---|---|---|---|
| 1972763993 | NPI | - | NPPES |
| 04698564 | Medicaid | NY |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedars-sinai Medical Care Foundation | 0941106645 | 1451 |
| Beverly Radiology Medical Group Iii | 3476466376 | 307 |
| Desert Advanced Imaging Medical Center | 6406749613 | 157 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20031106000784 |
| Entity Name | Ucla Radiology Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881670248 PECOS PAC ID: 8921902065 Enrollment ID: O20031120001026 |
| Entity Name | Cedars-sinai Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20040202001145 |
| Entity Name | Desert Advanced Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416147 PECOS PAC ID: 6406749613 Enrollment ID: O20050622001415 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20060221000914 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538 |
| Entity Name | Martin Luther King Jr Community Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311 |
| Mailing Address | Practice Location Address |
|---|---|
| Reza Fardanesh, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-5138 | Reza Fardanesh, 757 Westwood Plz, Los Angeles, CA 90095-3725 Ph: (310) 301-6800 |
Dr. Jiewen Li, DO Radiology Medicare: Medicare Enrolled Practice Location: 125 1/2 S Avenue 60, Los Angeles, CA 90042 Phone: 216-370-8300 | |
Alexander Boyarko, Radiology Medicare: Not Enrolled in Medicare Practice Location: 11980 Walnut Ln Apt 18, Los Angeles, CA 90025 Phone: 303-437-5230 | |
Doron Ben Avi, MD Radiology Medicare: Medicare Enrolled Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459 | |
Hsin Y Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-4721 | |
Colin J. Wells, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-301-6800 | |
Eric Allan White, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-8541 Fax: 323-442-8755 | |
Dr. Lloyd Edward Greaser Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Department Of Radiology, Los Angeles, CA 90095 Phone: 310-825-4321 |