| American Critical Care Consultants Corporation | |
|
4081 E Olympic Blvd Los Angeles CA 90023-3330 | |
| (323) 267-0477 | |
| Not Available |
| Full Name | American Critical Care Consultants Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 4081 E Olympic Blvd, Los Angeles, California |
| Authorized Official Name and Position | Vimal J Ponnezhan (CEO) |
| Authorized Official Contact | 3104223000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Critical Care Consultants Corporation 3579 E Foothill Blvd Ste 432 Pasadena CA 91107-3119 Ph: () - | American Critical Care Consultants Corporation 4081 E Olympic Blvd Los Angeles CA 90023-3330 Ph: (323) 267-0477 |
| NPI Number | 1336868215 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 01/24/2025 |
| Medicare PECOS PAC ID | 1759767338 |
|---|---|
| Medicare Enrollment ID | O20221005001258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336868215 | NPI | - | NPPES |
| Provider Name | Vimal J Ponnezhan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366653354 PECOS PAC ID: 0941348254 Enrollment ID: I20140806002731 |
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