| Lev G Gertsik Md Inc | |
|
726 Garfield Ave South Pasadena CA 91030-2807 | |
| (310) 726-3983 | |
| (626) 441-2497 |
| Full Name | Lev G Gertsik Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 726 Garfield Ave, South Pasadena, California |
| Authorized Official Name and Position | Lev G Gertsik (PRESIDENT) |
| Authorized Official Contact | 3107263983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lev G Gertsik Md Inc 726 Garfield Ave South Pasadena CA 91030-2807 Ph: (310) 726-3983 | Lev G Gertsik Md Inc 726 Garfield Ave South Pasadena CA 91030-2807 Ph: (310) 726-3983 |
| NPI Number | 1659517803 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 05/01/2012 |
| Medicare PECOS PAC ID | 3072675149 |
|---|---|
| Medicare Enrollment ID | O20081224000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659517803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A54951 (California) | Primary |
| Provider Name | Lev Gertsik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619031556 PECOS PAC ID: 6204998370 Enrollment ID: I20081224000147 |
| Provider Name | Matthew M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649825696 PECOS PAC ID: 4082047170 Enrollment ID: I20191203002525 |
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