| Genesis Hospitalist Medical Group, Inc. | |
|
8700 Beverly Blvd West Hollywood CA 90048-1804 | |
| (310) 786-7204 | |
| Not Available |
| Full Name | Genesis Hospitalist Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8700 Beverly Blvd, West Hollywood, California |
| Authorized Official Name and Position | Daniel Ling (CFO) |
| Authorized Official Contact | 3107867204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Hospitalist Medical Group, Inc. 9663 Santa Monica Blvd # 883 Beverly Hills CA 90210-4303 Ph: (310) 786-7204 | Genesis Hospitalist Medical Group, Inc. 8700 Beverly Blvd West Hollywood CA 90048-1804 Ph: (310) 786-7204 |
| NPI Number | 1316641855 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Medicare PECOS PAC ID | 2769846328 |
|---|---|
| Medicare Enrollment ID | O20230914003071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316641855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Henry A Horton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457653602 PECOS PAC ID: 5395904320 Enrollment ID: I20120312000563 |
| Provider Name | Gelsey L Goodstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790097442 PECOS PAC ID: 7012156474 Enrollment ID: I20130614000176 |
| Provider Name | Daniel E Ling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285964577 PECOS PAC ID: 0042430209 Enrollment ID: I20141010000607 |
| Provider Name | Gerardo Canedo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588068969 PECOS PAC ID: 3072875350 Enrollment ID: I20190731002342 |
| Provider Name | Erin Bombane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306493101 PECOS PAC ID: 9032541545 Enrollment ID: I20191120003029 |
| Provider Name | Joanna K Stuppler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629666268 PECOS PAC ID: 9335549542 Enrollment ID: I20210609002761 |
| Provider Name | Alifaiz Saiyed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568968014 PECOS PAC ID: 0547518417 Enrollment ID: I20210922002213 |
| Provider Name | Jessica Sivakumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699427724 PECOS PAC ID: 1052708088 Enrollment ID: I20220421002300 |
| Provider Name | Michael K Kojima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831853324 PECOS PAC ID: 8022485234 Enrollment ID: I20221101000781 |
| Provider Name | Azita A Gholami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245953686 PECOS PAC ID: 4587036751 Enrollment ID: I20230216001014 |
| Provider Name | Tiffany W Truong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235710005 PECOS PAC ID: 7113366022 Enrollment ID: I20240411002290 |
| Provider Name | Nazilla Sadat Seyed Forootan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982232948 PECOS PAC ID: 3072934793 Enrollment ID: I20240917001820 |
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