| American Current Care Of California, A Medical Corporation | |
|
6033 West Century Blvd Suite 200 Los Angeles CA 90045 | |
| (310) 258-0684 | |
| (310) 215-0783 |
| Full Name | American Current Care Of California, A Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 6033 West Century Blvd, Los Angeles, California |
| Authorized Official Name and Position | Jeffrey Wainstein (PRESIDENT) |
| Authorized Official Contact | 9723648000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Current Care Of California, A Medical Corporation 5080 Spectrum Dr Suite 1200w Addison TX 75001-4648 Ph: (972) 364-8000 | American Current Care Of California, A Medical Corporation 6033 West Century Blvd Suite 200 Los Angeles CA 90045 Ph: (310) 258-0684 |
| NPI Number | 1750573622 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 06/14/2016 |
| Medicare PECOS PAC ID | 5799854303 |
|---|---|
| Medicare Enrollment ID | O20080522000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750573622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Scott E Dlugos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790748234 PECOS PAC ID: 6002729837 Enrollment ID: I20031107000605 |
| Provider Name | Mark D Allison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164471223 PECOS PAC ID: 7315847092 Enrollment ID: I20040109000825 |
| Provider Name | Janet Lynn Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467532952 PECOS PAC ID: 5597659722 Enrollment ID: I20040210000305 |
| Provider Name | Zafar Parvez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750392361 PECOS PAC ID: 8921997677 Enrollment ID: I20040311001212 |
| Provider Name | Cynthia A Purviance |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851370555 PECOS PAC ID: 2062301088 Enrollment ID: I20040317000805 |
| Provider Name | Brent C Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346229382 PECOS PAC ID: 2365332483 Enrollment ID: I20040319000981 |
| Provider Name | Shirley X Xu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790791945 PECOS PAC ID: 7416848239 Enrollment ID: I20040322001671 |
| Provider Name | Gregory S Mynko |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225046568 PECOS PAC ID: 8729075064 Enrollment ID: I20040428000768 |
| Provider Name | Amitabh Prakash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730120700 PECOS PAC ID: 2668462862 Enrollment ID: I20040528001354 |
| Provider Name | Julia R Nyquist |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205813771 PECOS PAC ID: 3779560750 Enrollment ID: I20040707000986 |
| Provider Name | Fakhruddin Hasta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316974694 PECOS PAC ID: 5799751525 Enrollment ID: I20040902001382 |
| Provider Name | Joseph Behymer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922043108 PECOS PAC ID: 0042287245 Enrollment ID: I20040917000632 |
| Provider Name | Vikram Khanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821071986 PECOS PAC ID: 7113987090 Enrollment ID: I20041014000898 |
| Provider Name | Howard Cohen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255462255 PECOS PAC ID: 5092776716 Enrollment ID: I20041025001079 |
| Provider Name | Shahram Tabib |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609819887 PECOS PAC ID: 5496713232 Enrollment ID: I20041229000498 |
| Provider Name | Kavita Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831110832 PECOS PAC ID: 9830087972 Enrollment ID: I20050214001008 |
| Provider Name | Luis P Nugent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144289646 PECOS PAC ID: 1052366721 Enrollment ID: I20050315000836 |
| Provider Name | Farzaneh Virginia Maghsoudy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831207737 PECOS PAC ID: 7113956525 Enrollment ID: I20050805000617 |
| Provider Name | Brent Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487630497 PECOS PAC ID: 4789616772 Enrollment ID: I20050910000244 |
| Provider Name | Keith Wresch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346276813 PECOS PAC ID: 8527085133 Enrollment ID: I20051101001144 |
| Provider Name | Shamsunder P Samant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699716779 PECOS PAC ID: 6406860774 Enrollment ID: I20060126000310 |
| Provider Name | Gurmander S Kohli |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225066962 PECOS PAC ID: 7113934886 Enrollment ID: I20060321000655 |
| Provider Name | Aram Bonni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104859164 PECOS PAC ID: 5294754768 Enrollment ID: I20060621000370 |
| Provider Name | Aundrea Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770506529 PECOS PAC ID: 4385647718 Enrollment ID: I20060824000190 |
| Provider Name | Lydia M Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952336752 PECOS PAC ID: 7810991676 Enrollment ID: I20060908000398 |
| Provider Name | Barry Huang |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1316961550 PECOS PAC ID: 0941208854 Enrollment ID: I20061130000473 |
| Provider Name | Neil Chatterjee |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265554695 PECOS PAC ID: 6709984438 Enrollment ID: I20070604000769 |
| Provider Name | Chinyere I Amadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639284003 PECOS PAC ID: 1850486663 Enrollment ID: I20071008000593 |
| Provider Name | Fariba Vesali |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679526701 PECOS PAC ID: 5698706240 Enrollment ID: I20071015000467 |
| Provider Name | Lorraine Sunday |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558407197 PECOS PAC ID: 9234211293 Enrollment ID: I20080129000734 |
| Provider Name | Pamela S Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366481178 PECOS PAC ID: 2264590397 Enrollment ID: I20081018000197 |
| Provider Name | John Giddens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417934803 PECOS PAC ID: 2163409616 Enrollment ID: I20090219000438 |
| Provider Name | Joel David Myers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215929716 PECOS PAC ID: 5597791913 Enrollment ID: I20090223000415 |
| Provider Name | Cary Manoogian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306819271 PECOS PAC ID: 7810054616 Enrollment ID: I20090323000419 |
| Provider Name | Cana Rae Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427295070 PECOS PAC ID: 3678620648 Enrollment ID: I20090408000296 |
| Provider Name | Shoaib U Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033235486 PECOS PAC ID: 6002964038 Enrollment ID: I20090501000203 |
| Provider Name | Michele D Borgeson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396700936 PECOS PAC ID: 9739262411 Enrollment ID: I20090511000108 |
| Provider Name | Alexander O Francini |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437186467 PECOS PAC ID: 5193877678 Enrollment ID: I20090714000431 |
| Provider Name | Ganna L Breland |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316141898 PECOS PAC ID: 2163574518 Enrollment ID: I20090715000323 |
| Provider Name | Doug S Plata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447376611 PECOS PAC ID: 3577615806 Enrollment ID: I20090717000445 |
| Provider Name | Lawrence S Pohl |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1992774228 PECOS PAC ID: 8527111673 Enrollment ID: I20090806000549 |
| Provider Name | Ashish Bhalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184701104 PECOS PAC ID: 8123172871 Enrollment ID: I20090815000054 |
| Provider Name | John C Foster |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487857488 PECOS PAC ID: 2163578907 Enrollment ID: I20090921000529 |
| Provider Name | Daner Reider |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1568557437 PECOS PAC ID: 5799831103 Enrollment ID: I20090925000174 |
| Provider Name | Marlowe B Magallanes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346460847 PECOS PAC ID: 0446313324 Enrollment ID: I20090930000498 |
| Provider Name | William B Downs |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1851593636 PECOS PAC ID: 9436295615 Enrollment ID: I20090930000717 |
| Provider Name | Jonathan Rosenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467605972 PECOS PAC ID: 9335285477 Enrollment ID: I20091005000183 |
| Provider Name | Gary Dean Hatcher |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1669593141 PECOS PAC ID: 2961548987 Enrollment ID: I20091006000207 |
| Provider Name | Valerie L Youngblood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538397815 PECOS PAC ID: 6002956646 Enrollment ID: I20091212000088 |
| Provider Name | Luis E Rivera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922133388 PECOS PAC ID: 4385789114 Enrollment ID: I20100304000755 |
| Provider Name | Olina E Harwer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174536726 PECOS PAC ID: 6002950581 Enrollment ID: I20100316000853 |
| Provider Name | Lester Montante Deguzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255345567 PECOS PAC ID: 3375567357 Enrollment ID: I20100726000334 |
| Provider Name | Seleaina A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871790444 PECOS PAC ID: 5597881052 Enrollment ID: I20100922000469 |
| Provider Name | Zizhuang Li |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578762704 PECOS PAC ID: 9830265180 Enrollment ID: I20101013001176 |
| Provider Name | Kenten Wang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013998186 PECOS PAC ID: 7618162256 Enrollment ID: I20101109001202 |
| Provider Name | Seung Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073603460 PECOS PAC ID: 7012102155 Enrollment ID: I20101115000580 |
| Provider Name | Fauzia Rahman Basit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114099934 PECOS PAC ID: 7618157405 Enrollment ID: I20110210001213 |
| Provider Name | John D Sheppard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992857114 PECOS PAC ID: 6305020371 Enrollment ID: I20110415000448 |
| Provider Name | Daniel A Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023196763 PECOS PAC ID: 5294919130 Enrollment ID: I20110418000508 |
| Provider Name | Bella Agrawal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073630588 PECOS PAC ID: 6901083328 Enrollment ID: I20110610000392 |
| Provider Name | Avni Bansi Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417078999 PECOS PAC ID: 9537248646 Enrollment ID: I20111101000086 |
| Provider Name | Julie Elana Kaltgrad |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1235444068 PECOS PAC ID: 9739354242 Enrollment ID: I20111212000938 |
| Provider Name | Gustavo Diaz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538122635 PECOS PAC ID: 1254374713 Enrollment ID: I20111213000435 |
| Provider Name | Johnathan A Slone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548419484 PECOS PAC ID: 9931370111 Enrollment ID: I20120629000211 |
| Provider Name | Michelle Kathlyne Cuevas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912233446 PECOS PAC ID: 9032385604 Enrollment ID: I20120713000542 |
| Provider Name | David Y Lung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326315284 PECOS PAC ID: 0547413643 Enrollment ID: I20130123000073 |
| Provider Name | Kristian L Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023272051 PECOS PAC ID: 7416193735 Enrollment ID: I20130411000211 |
| Provider Name | Reena Devaraj |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962677146 PECOS PAC ID: 3375789365 Enrollment ID: I20130417000532 |
| Provider Name | Anika Yousefian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710277058 PECOS PAC ID: 3476794520 Enrollment ID: I20130801000206 |
| Provider Name | Amy L Rahm |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1659581957 PECOS PAC ID: 2466522040 Enrollment ID: I20131021000689 |
| Provider Name | Basem R Farag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457441974 PECOS PAC ID: 9537394598 Enrollment ID: I20131028001735 |
| Provider Name | Arleen Sta. Maria Comiso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811337470 PECOS PAC ID: 5991930422 Enrollment ID: I20131108000662 |
| Provider Name | Sherene C Nagarajah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710917539 PECOS PAC ID: 8729124797 Enrollment ID: I20131231001783 |
| Provider Name | Vithya Sairam |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1043472210 PECOS PAC ID: 5799913828 Enrollment ID: I20140116000725 |
| Provider Name | James Applebury |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275850836 PECOS PAC ID: 6103055199 Enrollment ID: I20140218000315 |
| Provider Name | Agnes Gitau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962832089 PECOS PAC ID: 2769613520 Enrollment ID: I20140320001957 |
| Provider Name | Kathy Le |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699973727 PECOS PAC ID: 5294872503 Enrollment ID: I20140417001057 |
| Provider Name | Cristian A Santizo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497071385 PECOS PAC ID: 1456520477 Enrollment ID: I20140509001636 |
| Provider Name | Kellie J Zaylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770773962 PECOS PAC ID: 1355492901 Enrollment ID: I20140620001422 |
| Provider Name | Angelina Caserta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659629061 PECOS PAC ID: 3476799602 Enrollment ID: I20140929000587 |
| Provider Name | Robert W Hennessy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699765412 PECOS PAC ID: 6103892997 Enrollment ID: I20140930000815 |
| Provider Name | Pooyan Badihian Sadeghi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619203866 PECOS PAC ID: 8820219629 Enrollment ID: I20141020002493 |
| Provider Name | Tamara Sherri Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396911772 PECOS PAC ID: 2769604172 Enrollment ID: I20141119000070 |
| Provider Name | Michael R. Land |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184057291 PECOS PAC ID: 8921328964 Enrollment ID: I20150514002576 |
| Provider Name | Jackson S Alparce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427162437 PECOS PAC ID: 7517279813 Enrollment ID: I20150630001784 |
| Provider Name | Julian Restrepo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902240344 PECOS PAC ID: 5991018111 Enrollment ID: I20150717000090 |
| Provider Name | Reza Khodaverdian |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700050689 PECOS PAC ID: 1658427307 Enrollment ID: I20150729010087 |
| Provider Name | Mandeep Singh Sehmbey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225346026 PECOS PAC ID: 2860708328 Enrollment ID: I20150828000205 |
| Provider Name | Elham Siman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407268626 PECOS PAC ID: 5991013534 Enrollment ID: I20151001002053 |
| Provider Name | Brett H Schussel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770821241 PECOS PAC ID: 6103052386 Enrollment ID: I20151019002111 |
| Provider Name | Allen Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922215540 PECOS PAC ID: 8123185840 Enrollment ID: I20151207000795 |
| Provider Name | Karin Yien |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437549060 PECOS PAC ID: 5092016543 Enrollment ID: I20151229000847 |
| Provider Name | Jeffrey S Wick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891795092 PECOS PAC ID: 6608768270 Enrollment ID: I20160203002526 |
| Provider Name | Supneet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730514340 PECOS PAC ID: 9931406980 Enrollment ID: I20160318001090 |
| Provider Name | Ilia Jbankov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881002673 PECOS PAC ID: 8921324492 Enrollment ID: I20160413001523 |
| Provider Name | Si Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467794180 PECOS PAC ID: 8022317270 Enrollment ID: I20160422000700 |
| Provider Name | Travis R Nesbit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316381692 PECOS PAC ID: 9032414156 Enrollment ID: I20160512002432 |
| Provider Name | Peter F Keenan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699068601 PECOS PAC ID: 2264406859 Enrollment ID: I20160609000722 |
| Provider Name | Joseph E Benson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790892594 PECOS PAC ID: 2860717741 Enrollment ID: I20160621002047 |
| Provider Name | Sarah D Garayalde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184932204 PECOS PAC ID: 3375835663 Enrollment ID: I20160706002442 |
| Provider Name | Diane A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962810440 PECOS PAC ID: 0042431975 Enrollment ID: I20160719000972 |
| Provider Name | Sadegh Saki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063671717 PECOS PAC ID: 4486943461 Enrollment ID: I20160722001913 |
| Provider Name | Monica San Basilio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033587126 PECOS PAC ID: 9830409721 Enrollment ID: I20160726002184 |
| Provider Name | Amos K Ladouceur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033413265 PECOS PAC ID: 1759674641 Enrollment ID: I20160729002070 |
| Provider Name | Steven Friend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932289774 PECOS PAC ID: 5597052092 Enrollment ID: I20160927002753 |
| Provider Name | Ellen C Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356463319 PECOS PAC ID: 2769779263 Enrollment ID: I20160927002781 |
| Provider Name | Masooma Mujeeb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821459785 PECOS PAC ID: 0345538401 Enrollment ID: I20161005003096 |
| Provider Name | Charles P Blackshear |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114362175 PECOS PAC ID: 7719266634 Enrollment ID: I20161117001088 |
| Provider Name | Grace Hillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720492648 PECOS PAC ID: 5799004990 Enrollment ID: I20170210001053 |
| Provider Name | Jennifer Dion-gokan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831634708 PECOS PAC ID: 5991081291 Enrollment ID: I20170422000225 |
| Provider Name | Christopher John N Co |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679704969 PECOS PAC ID: 7810026440 Enrollment ID: I20170509001584 |
| Provider Name | Sanjiwani Meharda |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1104108109 PECOS PAC ID: 5193955268 Enrollment ID: I20170612000460 |
| Provider Name | Aaron P Heerboth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770922122 PECOS PAC ID: 3274825914 Enrollment ID: I20170622001001 |
| Provider Name | Audrey L Sanford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073930400 PECOS PAC ID: 3870803125 Enrollment ID: I20170626001894 |
| Provider Name | Karla Talavera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417377607 PECOS PAC ID: 5395015291 Enrollment ID: I20170726001413 |
| Provider Name | Anahita S Behmardian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437607041 PECOS PAC ID: 3173896537 Enrollment ID: I20170906002414 |
| Provider Name | Thomas K Mogensen |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1578865671 PECOS PAC ID: 4587938436 Enrollment ID: I20170915003184 |
| Provider Name | Theresa Nwaoha-ezekwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326573494 PECOS PAC ID: 6204100852 Enrollment ID: I20170920000966 |
| Provider Name | Monica Manering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790225225 PECOS PAC ID: 9739445040 Enrollment ID: I20171101003418 |
| Provider Name | Gabriel Alejandro Villachica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861925976 PECOS PAC ID: 6305104639 Enrollment ID: I20171214001975 |
| Provider Name | Mundi L Attinasi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790876282 PECOS PAC ID: 8820358385 Enrollment ID: I20180201002868 |
| Provider Name | Sanjeev Puri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730420399 PECOS PAC ID: 0547570871 Enrollment ID: I20180307001366 |
| Provider Name | Marichelle S Masilang-cupino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376044602 PECOS PAC ID: 9335403567 Enrollment ID: I20180515003093 |
| Provider Name | Nicole J Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043708456 PECOS PAC ID: 5092079285 Enrollment ID: I20180516002634 |
| Provider Name | Amber M Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396235024 PECOS PAC ID: 7810244951 Enrollment ID: I20180720002004 |
| Provider Name | Renan A Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730404344 PECOS PAC ID: 3678825239 Enrollment ID: I20181009002098 |
| Provider Name | John A Barone |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1982616116 PECOS PAC ID: 9638457260 Enrollment ID: I20181128003287 |
| Provider Name | Jimmy Tam Huy Pham |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982087391 PECOS PAC ID: 1052620234 Enrollment ID: I20181205001466 |
| Provider Name | Melissa S Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639681000 PECOS PAC ID: 0042555757 Enrollment ID: I20181228001150 |
| Provider Name | Lucila Angeli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790179273 PECOS PAC ID: 9931498078 Enrollment ID: I20190206001345 |
| Provider Name | Bruce K Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699874826 PECOS PAC ID: 2961740808 Enrollment ID: I20190219000891 |
| Provider Name | Stephen Paul Leibham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366451593 PECOS PAC ID: 0749572642 Enrollment ID: I20190226002373 |
| Provider Name | Sadaf Farasat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255696407 PECOS PAC ID: 5092095190 Enrollment ID: I20190304000696 |
| Provider Name | Hai P Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639546054 PECOS PAC ID: 5799026555 Enrollment ID: I20190404002766 |
| Provider Name | Michael Brian Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285845651 PECOS PAC ID: 9638410319 Enrollment ID: I20190405001116 |
| Provider Name | Kanwal K Kher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639256928 PECOS PAC ID: 8426244559 Enrollment ID: I20190405002228 |
| Provider Name | Stephanie T Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033486519 PECOS PAC ID: 2163702432 Enrollment ID: I20190408000520 |
| Provider Name | John Edwin Cross |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1205989985 PECOS PAC ID: 8628215332 Enrollment ID: I20190408001194 |
| Provider Name | Julius Batac Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285145409 PECOS PAC ID: 7113268772 Enrollment ID: I20190408002478 |
| Provider Name | Tien-hoa Ko |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912915489 PECOS PAC ID: 0042551624 Enrollment ID: I20190409000272 |
| Provider Name | Tania Grivas |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1760787444 PECOS PAC ID: 2466628300 Enrollment ID: I20190411000150 |
| Provider Name | Zachary John Paul |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235526021 PECOS PAC ID: 1254672694 Enrollment ID: I20190411000925 |
| Provider Name | Brian Cameron Buder |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1477844405 PECOS PAC ID: 3577804673 Enrollment ID: I20190417001541 |
| Provider Name | Syed F Saquib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700970340 PECOS PAC ID: 4385930684 Enrollment ID: I20190417002059 |
| Provider Name | Gaby Jean Abdo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356457790 PECOS PAC ID: 3375848450 Enrollment ID: I20190417002672 |
| Provider Name | Diana M Johns |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639213564 PECOS PAC ID: 1658678768 Enrollment ID: I20190418002566 |
| Provider Name | Leslie M Kalman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609165992 PECOS PAC ID: 5799027488 Enrollment ID: I20190429002642 |
| Provider Name | Aye Min-than Aung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730672056 PECOS PAC ID: 6608119680 Enrollment ID: I20190514002077 |
| Provider Name | Maria Bella Yabut Ramirez |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1164547055 PECOS PAC ID: 7113213430 Enrollment ID: I20190516000290 |
| Provider Name | Maribel Ratuita Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780053850 PECOS PAC ID: 6305189150 Enrollment ID: I20190517000407 |
| Provider Name | Steven A Leusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356906424 PECOS PAC ID: 0143553859 Enrollment ID: I20190612002020 |
| Provider Name | Peter J Heitke |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1114004801 PECOS PAC ID: 4486942224 Enrollment ID: I20190627003084 |
| Provider Name | Sonny Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043521008 PECOS PAC ID: 8022308451 Enrollment ID: I20190628002487 |
| Provider Name | Betty J Van Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427483056 PECOS PAC ID: 2163756792 Enrollment ID: I20190701002222 |
| Provider Name | Shaheen Zakaria |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1093736159 PECOS PAC ID: 4789653635 Enrollment ID: I20190708002458 |
| Provider Name | Deirdre Alice Mazzetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023580446 PECOS PAC ID: 9830425925 Enrollment ID: I20190726002136 |
| Provider Name | Maria Bolinao Braren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568976660 PECOS PAC ID: 8426385006 Enrollment ID: I20190805001800 |
| Provider Name | Carlos Garrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992714257 PECOS PAC ID: 7214221845 Enrollment ID: I20190812003096 |
| Provider Name | Gurinder Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588837660 PECOS PAC ID: 4385880251 Enrollment ID: I20190819004107 |
| Provider Name | Jenaya M Calderilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407200306 PECOS PAC ID: 0042548075 Enrollment ID: I20190828002837 |
| Provider Name | Jamileh K Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023497138 PECOS PAC ID: 6709115553 Enrollment ID: I20190904002661 |
| Provider Name | Sakiba Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700240215 PECOS PAC ID: 9537498845 Enrollment ID: I20190912000545 |
| Provider Name | Jaishri Ramesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750413589 PECOS PAC ID: 6507197928 Enrollment ID: I20191015003006 |
| Provider Name | Akhil B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457617714 PECOS PAC ID: 1850608233 Enrollment ID: I20191031002084 |
| Provider Name | Jeevan Singh Sall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457872244 PECOS PAC ID: 5496087728 Enrollment ID: I20191105003261 |
| Provider Name | Ozioma A Enworom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225685902 PECOS PAC ID: 6204268428 Enrollment ID: I20191108001816 |
| Provider Name | Mary Vic Amor Mendija Bustillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851661276 PECOS PAC ID: 9133551914 Enrollment ID: I20191115002457 |
| Provider Name | Gabriela Ramos-pamplona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164070371 PECOS PAC ID: 3072945617 Enrollment ID: I20191119003043 |
| Provider Name | Channe Bunthung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669014866 PECOS PAC ID: 3274966510 Enrollment ID: I20191127001647 |
| Provider Name | Omeed Moalikyar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285022426 PECOS PAC ID: 6204260136 Enrollment ID: I20191230002066 |
| Provider Name | Thomas Gerald Quick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821325317 PECOS PAC ID: 8224921408 Enrollment ID: I20200117000602 |
| Provider Name | Marc Jeremy G Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912464074 PECOS PAC ID: 9032449251 Enrollment ID: I20200207002358 |
| Provider Name | Reza Khodaverdian |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1700050689 PECOS PAC ID: 1658427307 Enrollment ID: I20200316002758 |
| Provider Name | Patrick Ignacio |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1255542536 PECOS PAC ID: 7416071931 Enrollment ID: I20200322000064 |
| Provider Name | Yunkyung Heo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881135705 PECOS PAC ID: 5890126502 Enrollment ID: I20200513002474 |
| Provider Name | Lord L Addo-yirenkyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588140008 PECOS PAC ID: 3678999109 Enrollment ID: I20200814001115 |
| Provider Name | Rasha Saeed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093071052 PECOS PAC ID: 2668899519 Enrollment ID: I20200824003288 |
| Provider Name | Patrice D Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659781078 PECOS PAC ID: 8729405055 Enrollment ID: I20200901000639 |
| Provider Name | Estelita Ouano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679520449 PECOS PAC ID: 9830410158 Enrollment ID: I20200930001702 |
| Provider Name | Louis S Batch |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1699866004 PECOS PAC ID: 1254663875 Enrollment ID: I20201008000901 |
| Provider Name | Yeranui Stepanyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437784873 PECOS PAC ID: 7810316007 Enrollment ID: I20201008000987 |
| Provider Name | Miao Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427586882 PECOS PAC ID: 4587083696 Enrollment ID: I20201026002267 |
| Provider Name | Uju P Ezeamama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316462724 PECOS PAC ID: 2860745742 Enrollment ID: I20201110002250 |
| Provider Name | Eric Drell Amster |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265665913 PECOS PAC ID: 6103238621 Enrollment ID: I20201207001791 |
| Provider Name | Thomas J Mackey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144518689 PECOS PAC ID: 8123259322 Enrollment ID: I20201229000194 |
| Provider Name | Leonard Reynold Costantini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700266764 PECOS PAC ID: 7810302551 Enrollment ID: I20210210002964 |
| Provider Name | Roya Zamanian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346612116 PECOS PAC ID: 4385918648 Enrollment ID: I20210310003016 |
| Provider Name | Paula Go Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396215943 PECOS PAC ID: 4789092784 Enrollment ID: I20210412001623 |
| Provider Name | Benilda Oliquino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477164051 PECOS PAC ID: 6507275948 Enrollment ID: I20210514000918 |
| Provider Name | Arian Kakar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871167346 PECOS PAC ID: 0840699526 Enrollment ID: I20210528002310 |
| Provider Name | Kwame B Agyeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821521527 PECOS PAC ID: 9931509569 Enrollment ID: I20210617002970 |
| Provider Name | Jungrak Hong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154670446 PECOS PAC ID: 6204138597 Enrollment ID: I20210712002199 |
| Provider Name | Ani Angela Bznouni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841803905 PECOS PAC ID: 7113320359 Enrollment ID: I20210726000807 |
| Provider Name | David Rios |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1336552900 PECOS PAC ID: 4082019815 Enrollment ID: I20210817003183 |
| Provider Name | Sachin Anujeet Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700478211 PECOS PAC ID: 5092110338 Enrollment ID: I20210824002638 |
| Provider Name | Roger Evan Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063639045 PECOS PAC ID: 8224433313 Enrollment ID: I20210827001704 |
| Provider Name | Lizbeth Barragan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730549445 PECOS PAC ID: 1759787658 Enrollment ID: I20210901000341 |
| Provider Name | Adenike Awolola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184263733 PECOS PAC ID: 7315343050 Enrollment ID: I20210907000205 |
| Provider Name | Iqra Maqsood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295403699 PECOS PAC ID: 5698172237 Enrollment ID: I20210923001791 |
| Provider Name | Siena Elisa Ona |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174963458 PECOS PAC ID: 5294034369 Enrollment ID: I20210928003199 |
| Provider Name | Rey Kenneth Manzano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528735339 PECOS PAC ID: 9133517055 Enrollment ID: I20211026003090 |
| Provider Name | Armando Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700042561 PECOS PAC ID: 8123431475 Enrollment ID: I20211101002801 |
| Provider Name | Bianca Patricia Dube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740535152 PECOS PAC ID: 7012208465 Enrollment ID: I20211104002827 |
| Provider Name | Esther Davila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144714619 PECOS PAC ID: 2860735701 Enrollment ID: I20211110002767 |
| Provider Name | Charles Bunag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952999187 PECOS PAC ID: 9537558689 Enrollment ID: I20211111002375 |
| Provider Name | Shalla Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851765549 PECOS PAC ID: 1850782293 Enrollment ID: I20211220001484 |
| Provider Name | Noor Dythavon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518435379 PECOS PAC ID: 4486059367 Enrollment ID: I20211221002571 |
| Provider Name | Veronica Shearin-sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396327847 PECOS PAC ID: 1355741216 Enrollment ID: I20220218002442 |
| Provider Name | Shenwan Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457027815 PECOS PAC ID: 8820482896 Enrollment ID: I20220308002917 |
| Provider Name | Constance M Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063994275 PECOS PAC ID: 3971643073 Enrollment ID: I20220325001214 |
| Provider Name | Marlisha Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669028734 PECOS PAC ID: 0840520581 Enrollment ID: I20220412001058 |
| Provider Name | Simran Chhabra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679165013 PECOS PAC ID: 9739575143 Enrollment ID: I20220412002812 |
| Provider Name | Cybill Navarro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538659396 PECOS PAC ID: 9931509478 Enrollment ID: I20220425002147 |
| Provider Name | Karen Storlie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336117399 PECOS PAC ID: 4284639832 Enrollment ID: I20220519001602 |
| Provider Name | Charles Brandsmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891214763 PECOS PAC ID: 1557627718 Enrollment ID: I20220624002604 |
| Provider Name | Booil Kim |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508250804 PECOS PAC ID: 1254711575 Enrollment ID: I20220705001694 |
| Provider Name | Amy Quynhphi Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053040329 PECOS PAC ID: 0143601070 Enrollment ID: I20220722001893 |
| Provider Name | Elvin Kasimoglu-tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992349765 PECOS PAC ID: 0345624359 Enrollment ID: I20220824003580 |
| Provider Name | Connie Y Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679211015 PECOS PAC ID: 8527442607 Enrollment ID: I20220909000134 |
| Provider Name | Xi Zhai |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083148050 PECOS PAC ID: 5294064077 Enrollment ID: I20220909001894 |
| Provider Name | Prashanti Chandra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568108298 PECOS PAC ID: 1658756341 Enrollment ID: I20220915003715 |
| Provider Name | Bryan Edward Long |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1700013638 PECOS PAC ID: 9234514621 Enrollment ID: I20220921002358 |
| Provider Name | Omar A Farrukh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619530094 PECOS PAC ID: 5698151173 Enrollment ID: I20221006002378 |
| Provider Name | Trisha Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518613033 PECOS PAC ID: 4688041403 Enrollment ID: I20221108003133 |
| Provider Name | Bridgette Francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972925238 PECOS PAC ID: 7618345240 Enrollment ID: I20221201001713 |
| Provider Name | Vincent Z Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376975995 PECOS PAC ID: 3476958398 Enrollment ID: I20221212002237 |
| Provider Name | Alicia Rosa August |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205214939 PECOS PAC ID: 3971972647 Enrollment ID: I20221220001720 |
| Provider Name | John Neumann |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1003349432 PECOS PAC ID: 4587034145 Enrollment ID: I20221223001343 |
| Provider Name | Safa Maharsi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942761598 PECOS PAC ID: 3779954417 Enrollment ID: I20230117002149 |
| Provider Name | Latoya Butts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083324248 PECOS PAC ID: 8426420175 Enrollment ID: I20230207001600 |
| Provider Name | Reza Fazl Alizadeh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336643550 PECOS PAC ID: 6608248042 Enrollment ID: I20230210000846 |
| Provider Name | Jinhee Park |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437315827 PECOS PAC ID: 9739580234 Enrollment ID: I20230221002963 |
| Provider Name | Annabel Tabianan Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760880264 PECOS PAC ID: 0345614723 Enrollment ID: I20230327001183 |
| Provider Name | James Daffin Senechal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780662106 PECOS PAC ID: 1153567219 Enrollment ID: I20230412002203 |
| Provider Name | Alexis Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942933460 PECOS PAC ID: 0446615066 Enrollment ID: I20230503000927 |
| Provider Name | Dionisio T Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831835594 PECOS PAC ID: 9436533064 Enrollment ID: I20230519002463 |
| Provider Name | Nichole Graciela Anguiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477252146 PECOS PAC ID: 4486010261 Enrollment ID: I20230522000219 |
| Provider Name | William Comer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003505629 PECOS PAC ID: 0345607537 Enrollment ID: I20230602000893 |
| Provider Name | Omowunmi M Abioro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891399820 PECOS PAC ID: 6608233622 Enrollment ID: I20230607001195 |
| Provider Name | Daphnee Emmanuela Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588325492 PECOS PAC ID: 0648637546 Enrollment ID: I20230608001302 |
| Provider Name | Michael Silvers |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1649225863 PECOS PAC ID: 6204809809 Enrollment ID: I20230713002599 |
| Provider Name | Puja Regmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356029490 PECOS PAC ID: 4183086184 Enrollment ID: I20230808001278 |
| Provider Name | Gregory Todd Thier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922088558 PECOS PAC ID: 5799149761 Enrollment ID: I20230908001546 |
| Provider Name | Jean Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538945324 PECOS PAC ID: 4688028236 Enrollment ID: I20230929002954 |
| Provider Name | Job Miller Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730877432 PECOS PAC ID: 6406202555 Enrollment ID: I20231025001693 |
| Provider Name | Soyeon J Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346923380 PECOS PAC ID: 5890142863 Enrollment ID: I20231113002563 |
| Provider Name | Stephanie Fagbemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366095135 PECOS PAC ID: 3173972395 Enrollment ID: I20231213003885 |
| Provider Name | Tasnim Masood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144008277 PECOS PAC ID: 7517319841 Enrollment ID: I20240122004566 |
| Provider Name | Gurpreet Sidhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043872195 PECOS PAC ID: 8022460328 Enrollment ID: I20240123002156 |
| Provider Name | Ryan Pilones Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922883545 PECOS PAC ID: 4486007622 Enrollment ID: I20240124002395 |
| Provider Name | Dinh S Lai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093123176 PECOS PAC ID: 0244673044 Enrollment ID: I20240208002872 |
| Provider Name | Victoria Udongwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962820738 PECOS PAC ID: 2769606177 Enrollment ID: I20240216000385 |
| Provider Name | Patrick Honeycutt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952966012 PECOS PAC ID: 1850634833 Enrollment ID: I20240216000823 |
| Provider Name | Dai Apollo Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467552885 PECOS PAC ID: 3476804972 Enrollment ID: I20240222004066 |
| Provider Name | Jose Marie M Lota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306515424 PECOS PAC ID: 7113363540 Enrollment ID: I20240307003767 |
| Provider Name | Sarbjeet Kaur Thind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023797198 PECOS PAC ID: 6608214606 Enrollment ID: I20240410001517 |
| Provider Name | Glenn Derit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619571726 PECOS PAC ID: 9537459284 Enrollment ID: I20240416001869 |
| Provider Name | Lilian Ongeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699366815 PECOS PAC ID: 0648686758 Enrollment ID: I20240418003747 |
| Provider Name | Natalie Faith Brubaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356113278 PECOS PAC ID: 1355781279 Enrollment ID: I20240425002267 |
| Provider Name | Irina Gaal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730309360 PECOS PAC ID: 0446690150 Enrollment ID: I20240429002055 |
| Provider Name | Nicola Juanita Mckellop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538600549 PECOS PAC ID: 5193002681 Enrollment ID: I20240514002495 |
| Provider Name | Mohini Pankaj Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104681428 PECOS PAC ID: 6305288911 Enrollment ID: I20240529000674 |
| Provider Name | Andrea Ibbison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932393584 PECOS PAC ID: 5193895910 Enrollment ID: I20240619000608 |
| Provider Name | Rene Augusto Monzon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932766086 PECOS PAC ID: 1153866868 Enrollment ID: I20240717001599 |
| Provider Name | Sweet Faye Rances Raquid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134972110 PECOS PAC ID: 7012454622 Enrollment ID: I20240731003998 |
| Provider Name | Aditya Agrawal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174109797 PECOS PAC ID: 4981141181 Enrollment ID: I20240806002453 |
| Provider Name | John Keichi Sakakura |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154859635 PECOS PAC ID: 2466990098 Enrollment ID: I20240814002870 |
| Provider Name | Sixta Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225801251 PECOS PAC ID: 7214475284 Enrollment ID: I20240821003386 |
| Provider Name | John Joseph O'neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346946571 PECOS PAC ID: 8022557537 Enrollment ID: I20240828003621 |
| Provider Name | Cecilia Y Cruz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013590405 PECOS PAC ID: 8628213204 Enrollment ID: I20240830000689 |
| Provider Name | Nobel D Nguyen |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1306467444 PECOS PAC ID: 3375074339 Enrollment ID: I20241001002411 |
| Provider Name | Adnan M Almouazzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548003379 PECOS PAC ID: 6103357140 Enrollment ID: I20241002000729 |
| Provider Name | Emily Linggi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235903568 PECOS PAC ID: 6800328642 Enrollment ID: I20241017001172 |
| Provider Name | Angus Cheng |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1891497525 PECOS PAC ID: 9436503398 Enrollment ID: I20241023002667 |
| Provider Name | Khoi Trinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275117004 PECOS PAC ID: 2860882347 Enrollment ID: I20241028001606 |
| Provider Name | Constanza Munoz Kotanko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205660362 PECOS PAC ID: 9335672096 Enrollment ID: I20241101003184 |
| Provider Name | Joseph John Lotsko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427629179 PECOS PAC ID: 5799111316 Enrollment ID: I20241105002880 |
| Provider Name | Kimberly Anne Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326870502 PECOS PAC ID: 2365978111 Enrollment ID: I20241204001400 |
| Provider Name | Amanda Marie Pustilnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346910189 PECOS PAC ID: 2163958893 Enrollment ID: I20241205000462 |
| Provider Name | Tricia Elaine Vanwagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770567679 PECOS PAC ID: 7810423217 Enrollment ID: I20241209003147 |
| Provider Name | Leah Victoria Heinrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043934482 PECOS PAC ID: 4688015027 Enrollment ID: I20241215000072 |
| Provider Name | Andrea Levchuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659153815 PECOS PAC ID: 1456889872 Enrollment ID: I20250114000816 |
| Provider Name | Elysse Kristina Eusebio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255956926 PECOS PAC ID: 7517380025 Enrollment ID: I20250205003251 |
| Provider Name | Marissa Opiana Matibag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457003394 PECOS PAC ID: 9436670031 Enrollment ID: I20250312001044 |
| Provider Name | Angelina M Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588318869 PECOS PAC ID: 7911429758 Enrollment ID: I20250320002922 |
| Provider Name | Sharon Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831719624 PECOS PAC ID: 1254720808 Enrollment ID: I20250328002563 |
| Provider Name | Michelle Ramirez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1821470196 PECOS PAC ID: 4981128956 Enrollment ID: I20250411000750 |
| Provider Name | William King-lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063863363 PECOS PAC ID: 9830595651 Enrollment ID: I20250429002810 |
| Provider Name | Maria Modesto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134235336 PECOS PAC ID: 0749380061 Enrollment ID: I20250430002139 |
| Provider Name | Noreen Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982130282 PECOS PAC ID: 9638696404 Enrollment ID: I20250506000363 |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
Gage Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037 Phone: 323-234-6300 | |
Special Service For Groups, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Health Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |
Apla Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 |