| Ace Medical Group | |
|
4477 W 118th St Suite 200 Hawthorne CA 90250-2255 | |
| (310) 675-4440 | |
| (310) 675-5816 |
| Full Name | Ace Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 4477 W 118th St, Hawthorne, California |
| Authorized Official Name and Position | Kathy Sullivan (MANAGER) |
| Authorized Official Contact | 3106754440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ace Medical Group 4477 W 118th St Ste 200 Hawthorne CA 90250-2257 Ph: (310) 675-4440 | Ace Medical Group 4477 W 118th St Suite 200 Hawthorne CA 90250-2255 Ph: (310) 675-4440 |
| NPI Number | 1013927805 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 02/28/2023 |
| Medicare PECOS PAC ID | 0941245088 |
|---|---|
| Medicare Enrollment ID | O20050620001164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013927805 | NPI | - | NPPES |
| GR0069550 | Medicaid | CA |
| Provider Name | Ashok Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518963032 PECOS PAC ID: 9234167313 Enrollment ID: I20101222000289 |
| Provider Name | Nona P Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164868931 PECOS PAC ID: 9638310253 Enrollment ID: I20130724000710 |
| Provider Name | Pooja Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225328610 PECOS PAC ID: 3375867971 Enrollment ID: I20150129002124 |
| Provider Name | Maria M Tinoco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861867715 PECOS PAC ID: 4486957677 Enrollment ID: I20160121001708 |
| Provider Name | Kane John Dominguez Cua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538562145 PECOS PAC ID: 7113213893 Enrollment ID: I20161220002484 |
| Provider Name | Sarah J Mogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003323320 PECOS PAC ID: 1355696147 Enrollment ID: I20180619002771 |
Keith Ebilane, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13429 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-644-8683 Fax: 310-644-0132 | |
Behavioral Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12954 Hawthorne Blvd Ste 100, Hawthorne, CA 90250 Phone: 310-978-6900 Fax: 310-218-5484 | |
Ananias E. Ebilane, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13429 S Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-644-8683 Fax: 310-644-0132 | |
Lieu S. Nguyen, M.d., A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15032 Prairie Ave, Hawthorne, CA 90250 Phone: 310-675-7343 Fax: 310-675-1951 | |
Mehmet C Demirozu M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4477 W 118th St, Suite 303, Hawthorne, CA 90250 Phone: 310-644-9515 Fax: 310-644-3629 | |
Northeast Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 W. 117th St Suite 105, Hawthorne, CA 90250 Phone: 424-456-6200 Fax: 424-456-6201 |