| Kerwin Ebilane, | |
|
13429 Hawthorne Blvd, Hawthorne, CA 90250-5803 | |
| (310) 644-8683 | |
| Not Available |
| Full Name | Kerwin Ebilane |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 13429 Hawthorne Blvd, Hawthorne, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073141180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 58557 (California) | Primary |
| Entity Name | Anaheim Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962680033 PECOS PAC ID: 8325118029 Enrollment ID: O20080606000728 |
| Entity Name | Beach Cities Orthopedics and Sports Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750539672 PECOS PAC ID: 7517014251 Enrollment ID: O20090415000058 |
| Entity Name | Hasan Badday MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972914133 PECOS PAC ID: 9133349574 Enrollment ID: O20141006002465 |
| Entity Name | Dispatchhealth-ca PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639752553 PECOS PAC ID: 4789086455 Enrollment ID: O20210719000230 |
| Entity Name | Medison Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760050587 PECOS PAC ID: 6103229000 Enrollment ID: O20210729003556 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerwin Ebilane, 13429 Hawthorne Blvd, Hawthorne, CA 90250-5803 Ph: (310) 644-8683 | Kerwin Ebilane, 13429 Hawthorne Blvd, Hawthorne, CA 90250-5803 Ph: (310) 644-8683 |
Mitasha Sunil Patel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4455 W 117th St Ste 200, Hawthorne, CA 90250 Phone: 310-645-0444 |
Danielle Gagain, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 4455 W 117th St Ste 200, Hawthorne, CA 90250 Phone: 310-219-2000 |
Norma Adriana Monroy, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 3615 Jack Northrop Ave Ste 100, Hawthorne, CA 90250 Phone: 888-663-6331 Fax: 415-252-7176 |
Michaelen Diiorio, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13425 Inglewood Ave, Hawthorne, CA 90250 Phone: 310-679-2201 Fax: 310-679-4236 |
Michelle Hiromi Siu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2301 W El Segundo Blvd, Hawthorne, CA 90250 Phone: 323-757-2118 |
Mrs. Melissa Natasha Myles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4455 W 117th St Ste 300, Hawthorne, CA 90250 Phone: 310-645-0444 |
Lien My Pham, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4455 W 117th St Ste 300, Hawthorne, CA 90250 Phone: 310-645-0444 |