| Jfl Medical Inc | |
|
8424 Santa Monica Blvd West Hollywood CA 90069-6233 | |
| (626) 862-1333 | |
| Not Available |
| Full Name | Jfl Medical Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8424 Santa Monica Blvd, West Hollywood, California |
| Authorized Official Name and Position | Joshua Lewis (PRESIDENT) |
| Authorized Official Contact | 6268621333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jfl Medical Inc 8721 Santa Monica Blvd Ste 252 Los Angeles CA 90069-4507 Ph: () - | Jfl Medical Inc 8424 Santa Monica Blvd West Hollywood CA 90069-6233 Ph: (626) 862-1333 |
| NPI Number | 1083494710 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 7719333590 |
|---|---|
| Medicare Enrollment ID | O20231031001222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083494710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joshua Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306113360 PECOS PAC ID: 8325260060 Enrollment ID: I20141112001243 |
| Provider Name | Kanishka Wijegunaratne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669714754 PECOS PAC ID: 5890088660 Enrollment ID: I20160801002691 |
| Provider Name | James J Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467816744 PECOS PAC ID: 0648502153 Enrollment ID: I20191104001067 |
| Provider Name | Alexandra Vartapetova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437715695 PECOS PAC ID: 9032527288 Enrollment ID: I20210428000563 |
| Provider Name | Evyatar Evron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922596501 PECOS PAC ID: 0840693941 Enrollment ID: I20210727003339 |
| Provider Name | Yaroslava Markov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285418749 PECOS PAC ID: 1052723806 Enrollment ID: I20231003000001 |
| Provider Name | Christian R Dator |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710799713 PECOS PAC ID: 2668992629 Enrollment ID: I20250220001376 |
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