| Addis Medical Group A Medical Corporation | |
|
23700 Camino Del Sol Torrance CA 90505-5017 | |
| (310) 530-1151 | |
| (310) 626-9390 |
| Full Name | Addis Medical Group A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23700 Camino Del Sol, Torrance, California |
| Authorized Official Name and Position | Hiruy H Gessesse (OWNER) |
| Authorized Official Contact | 4244007748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Addis Medical Group A Medical Corporation Po Box 4570 Palos Verdes Peninsula CA 90274-9607 Ph: (424) 400-7748 | Addis Medical Group A Medical Corporation 23700 Camino Del Sol Torrance CA 90505-5017 Ph: (310) 530-1151 |
| NPI Number | 1013289339 |
|---|---|
| Provider Enumeration Date | 02/01/2012 |
| Last Update Date | 09/11/2014 |
| Medicare PECOS PAC ID | 0941463335 |
|---|---|
| Medicare Enrollment ID | O20120522001225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013289339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A101106 (California) | Primary |
| Provider Name | Anna I Lau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942240882 PECOS PAC ID: 2961455019 Enrollment ID: I20050301000353 |
| Provider Name | Lisa Kahn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528008430 PECOS PAC ID: 9739111303 Enrollment ID: I20050902000543 |
| Provider Name | Hiruy H Gessesse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902091481 PECOS PAC ID: 2062572514 Enrollment ID: I20081113000774 |
| Provider Name | Ajmal Mohammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700017712 PECOS PAC ID: 2365570504 Enrollment ID: I20100510000669 |
| Provider Name | Cordelia Rose E Onyekwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194026542 PECOS PAC ID: 2163686577 Enrollment ID: I20120615000265 |
| Provider Name | Victoria Omuson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184920050 PECOS PAC ID: 6608030028 Enrollment ID: I20120615000290 |
| Provider Name | Bruce A Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225040363 PECOS PAC ID: 8022237064 Enrollment ID: I20140924000337 |
| Provider Name | Assefa E Mekonnen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942605126 PECOS PAC ID: 4880996016 Enrollment ID: I20160105002949 |
| Provider Name | Kesha Saucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407254881 PECOS PAC ID: 2769774439 Enrollment ID: I20160718000541 |
| Provider Name | Sarah Ko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336699933 PECOS PAC ID: 0042590812 Enrollment ID: I20161213002553 |
| Provider Name | Sonnia Aba Ahinasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952792467 PECOS PAC ID: 3375823941 Enrollment ID: I20161219000349 |
| Provider Name | Irine Niuke Achuamang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760999114 PECOS PAC ID: 1759643786 Enrollment ID: I20180402002174 |
| Provider Name | Picolya Katice Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699977934 PECOS PAC ID: 1456693589 Enrollment ID: I20190422000298 |
| Provider Name | Helen F Ntung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992219661 PECOS PAC ID: 6406181411 Enrollment ID: I20190712002652 |
| Provider Name | Eunice M Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093272338 PECOS PAC ID: 6709219421 Enrollment ID: I20200115001477 |
| Provider Name | Chukwudi Obue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477189223 PECOS PAC ID: 6507271038 Enrollment ID: I20210216001242 |
| Provider Name | Esther U Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104073865 PECOS PAC ID: 5991193369 Enrollment ID: I20211104001181 |
| Provider Name | Richard Angelo Monforte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487303475 PECOS PAC ID: 5799154183 Enrollment ID: I20221206003270 |
| Provider Name | Felix Erhiorhi Umukoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275286601 PECOS PAC ID: 6305215369 Enrollment ID: I20221214000120 |
| Provider Name | Charilyn Bringas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659715266 PECOS PAC ID: 7911181144 Enrollment ID: I20230703002007 |
| Provider Name | Fun Wing Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972205144 PECOS PAC ID: 6800259318 Enrollment ID: I20230831001934 |
Holt Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23639 Hawthorne Blvd, 201, Torrance, CA 90505 Phone: 310-373-3420 | |
Rop Emancipation Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1691 Gramercy Ave, Torrance, CA 90501 Phone: 310-320-0195 | |
Mindful Life Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18411 Crenshaw Blvd Ste 432, Torrance, CA 90504 Phone: 310-750-7448 | |
Kevin Stephanoff, M.d., Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 23700 Camino Del Sol, Torrance, CA 90505 Phone: 310-308-9014 | |
Los Angeles County Department Of Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21810 Normandie Ave, 1st Fl, Torrance, CA 90502 Phone: 424-346-5700 Fax: 310-363-8485 | |
Specialized Foster Care Torrance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2325 Crenshaw Blvd, Torrance, CA 90501 Phone: 310-972-3297 Fax: 310-782-3461 |