| Ersno Eromo Md, Inc. | |
|
1513 S Grand Ave Los Angeles CA 90015-3070 | |
| (310) 704-9880 | |
| Not Available |
| Full Name | Ersno Eromo Md, Inc. |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 1513 S Grand Ave, Los Angeles, California |
| Authorized Official Name and Position | Ersno Eromo (CEO) |
| Authorized Official Contact | 3107049880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ersno Eromo Md, Inc. 8447 Wilshire Blvd Ste 204 Beverly Hills CA 90211-3207 Ph: (310) 929-6336 | Ersno Eromo Md, Inc. 1513 S Grand Ave Los Angeles CA 90015-3070 Ph: (310) 704-9880 |
| NPI Number | 1174084818 |
|---|---|
| Provider Enumeration Date | 03/26/2019 |
| Last Update Date | 05/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174084818 | NPI | - | NPPES |
| 03375844 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
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