| Amniotti Inc | |
|
113 N San Vicente Blvd Ste 368 Beverly Hills CA 90211-2329 | |
| (866) 316-9062 | |
| Not Available |
| Full Name | Amniotti Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 113 N San Vicente Blvd Ste 368, Beverly Hills, California |
| Authorized Official Name and Position | David Cohen (OWNER) |
| Authorized Official Contact | 8663169062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amniotti Inc 113 N San Vicente Blvd Ste 368 Beverly Hills CA 90211-2329 | Amniotti Inc 113 N San Vicente Blvd Ste 368 Beverly Hills CA 90211-2329 Ph: (866) 316-9062 |
| NPI Number | 1780465062 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Medicare PECOS PAC ID | 2264882075 |
|---|---|
| Medicare Enrollment ID | O20231220000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780465062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | David Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477996395 PECOS PAC ID: 4082993472 Enrollment ID: I20161107001544 |
| Provider Name | Regina W Speights |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982055430 PECOS PAC ID: 2163716077 Enrollment ID: I20190502002739 |
| Provider Name | Anasochil Jimenez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033624705 PECOS PAC ID: 6507299492 Enrollment ID: I20220930000757 |
| Provider Name | Shanna L Rucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194307421 PECOS PAC ID: 5890167159 Enrollment ID: I20230214002561 |
| Provider Name | Aileen Chen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144748609 PECOS PAC ID: 8527333145 Enrollment ID: I20230912002070 |
| Provider Name | Brandon Wong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194404632 PECOS PAC ID: 1759730930 Enrollment ID: I20231213001849 |
| Provider Name | Hiren Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073229746 PECOS PAC ID: 0941647739 Enrollment ID: I20240328002896 |
| Provider Name | Yiwen Chiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760219034 PECOS PAC ID: 1658807342 Enrollment ID: I20241204003569 |
| Provider Name | Robert Phan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467266536 PECOS PAC ID: 3274056130 Enrollment ID: I20250401001936 |
| Provider Name | Erick Yeh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710753132 PECOS PAC ID: 2668811787 Enrollment ID: I20260304003450 |
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