| Ariel Malamud, A Medical Corporation | |
|
1513 S Grand Ave Suite 330 Los Angeles CA 90015-3070 | |
| (213) 440-2040 | |
| (213) 234-4516 |
| Full Name | Ariel Malamud, A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1513 S Grand Ave, Los Angeles, California |
| Authorized Official Name and Position | Silvia Malamud (PRACTICE MANAGER) |
| Authorized Official Contact | 2134402040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ariel Malamud, A Medical Corporation 1513 S Grand Ave Suite 330 Los Angeles CA 90015-3070 Ph: (213) 440-2040 | Ariel Malamud, A Medical Corporation 1513 S Grand Ave Suite 330 Los Angeles CA 90015-3070 Ph: (213) 440-2040 |
| NPI Number | 1366694747 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 08/17/2022 |
| Medicare PECOS PAC ID | 7911175005 |
|---|---|
| Medicare Enrollment ID | O20110715000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366694747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Ariel Malamud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518032218 PECOS PAC ID: 8224028303 Enrollment ID: I20040512001502 |
| Provider Name | Alireza Tabesh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356482392 PECOS PAC ID: 7113911363 Enrollment ID: I20090126000063 |
| Provider Name | Mordecai Solomon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902244106 PECOS PAC ID: 3173852969 Enrollment ID: I20190903003082 |
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