| Girish Mohan Md Inc. | |
|
600 S San Vicente Blvd Los Angeles CA 90048-4653 | |
| (310) 873-3312 | |
| Not Available |
| Full Name | Girish Mohan Md Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 S San Vicente Blvd, Los Angeles, California |
| Authorized Official Name and Position | Girish Mohan (CEO) |
| Authorized Official Contact | 3108733312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Girish Mohan Md Inc. 325 N Maple Dr Unit 17773 Beverly Hills CA 90209-5866 Ph: () - | Girish Mohan Md Inc. 600 S San Vicente Blvd Los Angeles CA 90048-4653 Ph: (310) 873-3312 |
| NPI Number | 1003520602 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Medicare PECOS PAC ID | 4587037189 |
|---|---|
| Medicare Enrollment ID | O20230301002490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003520602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Girish Mohan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093193161 PECOS PAC ID: 0446547277 Enrollment ID: I20201125000052 |
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