| Ron Perets, PA-C | |
|
8700 Beverly Blvd, West Hollywood, CA 90048-1804 | |
| (310) 423-8753 | |
| Not Available |
| Full Name | Ron Perets |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 8700 Beverly Blvd, West Hollywood, 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 |
|---|---|---|---|
| 1982084141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363A00000X | Physician Assistant | 10568 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | PA57468 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grady Memorial Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Medical Care Foundation Inc | 4981501814 | 1003 |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Mailing Address | Practice Location Address |
|---|---|
| Ron Perets, PA-C 4140 W 190th St, Torrance, CA 90504-5513 Ph: (310) 423-8753 | Ron Perets, PA-C 8700 Beverly Blvd, West Hollywood, CA 90048-1804 Ph: (310) 423-8753 |
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