| Green Cross Med Net Inc | |
|
5832 S Vermont Ave Los Angeles CA 90044-3712 | |
| (323) 750-7354 | |
| (323) 750-7446 |
| Full Name | Green Cross Med Net Inc |
|---|---|
| Speciality | General Practice |
| Location | 5832 S Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Nabil Khalil (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3237507354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Cross Med Net Inc 5832 S Vermont Ave Los Angeles CA 90044-3712 Ph: (323) 750-7354 | Green Cross Med Net Inc 5832 S Vermont Ave Los Angeles CA 90044-3712 Ph: (323) 750-7354 |
| NPI Number | 1851609176 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 09/21/2010 |
| Medicare PECOS PAC ID | 6103958236 |
|---|---|
| Medicare Enrollment ID | O20100724000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851609176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (California) | Primary |
| Provider Name | Nicholas A Rogers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124203583 PECOS PAC ID: 7618128778 Enrollment ID: I20121119000438 |
| Provider Name | David Steinberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649335043 PECOS PAC ID: 0547252942 Enrollment ID: I20140627001193 |
| Provider Name | Nicola F Azar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922259787 PECOS PAC ID: 5799836557 Enrollment ID: I20141124000665 |
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