| Iconsult Healthcare, Inc. | |
|
16660 Paramount Blvd Ste 100 Paramount CA 90723-5457 | |
| (424) 349-7108 | |
| Not Available |
| Full Name | Iconsult Healthcare, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 16660 Paramount Blvd Ste 100, Paramount, California |
| Authorized Official Name and Position | Maneesh Ashley Bansal (MANAGER) |
| Authorized Official Contact | 4243497108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iconsult Healthcare, Inc. 16660 Paramount Blvd Ste 100 Paramount CA 90723-5457 Ph: (424) 349-7108 | Iconsult Healthcare, Inc. 16660 Paramount Blvd Ste 100 Paramount CA 90723-5457 Ph: (424) 349-7108 |
| NPI Number | 1649740234 |
|---|---|
| Provider Enumeration Date | 11/27/2018 |
| Last Update Date | 11/27/2018 |
| Medicare PECOS PAC ID | 5395085195 |
|---|---|
| Medicare Enrollment ID | O20190313002913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649740234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael K Louie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538294798 PECOS PAC ID: 9335248640 Enrollment ID: I20070627000695 |
| Provider Name | Maneesh A Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063615102 PECOS PAC ID: 9032219860 Enrollment ID: I20070710000306 |
| Provider Name | Tejinder Mohan Kalra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174564033 PECOS PAC ID: 3476634361 Enrollment ID: I20080116000809 |
| Provider Name | Scott A Fleishman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942411343 PECOS PAC ID: 9537293170 Enrollment ID: I20100817001583 |
| Provider Name | Deborah Anghesom-negusse |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780862169 PECOS PAC ID: 8022293091 Enrollment ID: I20110506000572 |
| Provider Name | Lisa Ann Stirling |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063685410 PECOS PAC ID: 1557539228 Enrollment ID: I20110725000078 |
| Provider Name | Martin H Kay |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750450615 PECOS PAC ID: 2365413457 Enrollment ID: I20120223000419 |
| Provider Name | Sapna Singh Patel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710140561 PECOS PAC ID: 6103089222 Enrollment ID: I20120529000383 |
| Provider Name | Dat Nguyen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982698528 PECOS PAC ID: 7810955994 Enrollment ID: I20150202001991 |
| Provider Name | Daniel N Pistone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962405084 PECOS PAC ID: 2062490113 Enrollment ID: I20150520001213 |
| Provider Name | Mohsen A Aljayeh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770785859 PECOS PAC ID: 5698876787 Enrollment ID: I20150702002645 |
| Provider Name | Tony Tongyu Liu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609106459 PECOS PAC ID: 1658696299 Enrollment ID: I20151030002244 |
| Provider Name | David Noam Kay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205254992 PECOS PAC ID: 9931491180 Enrollment ID: I20170131000012 |
| Provider Name | Melody Nicole Abbene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457786717 PECOS PAC ID: 8527338250 Enrollment ID: I20170727003298 |
| Provider Name | Dillys K Owusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396124533 PECOS PAC ID: 8123393089 Enrollment ID: I20171004000037 |
| Provider Name | Jeffrey M Demian |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922477280 PECOS PAC ID: 8820356900 Enrollment ID: I20171219000457 |
| Provider Name | Mishel Farasatpour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841533767 PECOS PAC ID: 6406105089 Enrollment ID: I20180814004278 |
| Provider Name | Mahtab Sohrevardi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578777033 PECOS PAC ID: 0143312678 Enrollment ID: I20190702002081 |
| Provider Name | Eric J Bansal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689945776 PECOS PAC ID: 7517293905 Enrollment ID: I20190723002025 |
| Provider Name | Cynthia Ann Chesy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598024234 PECOS PAC ID: 0749517563 Enrollment ID: I20190815003361 |
| Provider Name | Arian Teymoorian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760822191 PECOS PAC ID: 9436488566 Enrollment ID: I20190913002803 |
| Provider Name | Anna Chacon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073950689 PECOS PAC ID: 8527207919 Enrollment ID: I20210611002404 |
| Provider Name | Naghmeh Kerendian |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033324785 PECOS PAC ID: 9931599206 Enrollment ID: I20211130001337 |
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