| Next Door Med Net Inc. | |
|
5832 S Vermont Ave Los Angeles CA 90044-3712 | |
| (323) 750-7354 | |
| (323) 750-7446 |
| Full Name | Next Door Med Net Inc. |
|---|---|
| Speciality | General Practice |
| Location | 5832 S Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Nicholas A Rogers (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 |
|---|---|
| Next Door Med Net Inc. 5832 S Vermont Ave Los Angeles CA 90044-3712 Ph: (323) 750-7354 | Next Door Med Net Inc. 5832 S Vermont Ave Los Angeles CA 90044-3712 Ph: (323) 750-7354 |
| NPI Number | 1497258263 |
|---|---|
| Provider Enumeration Date | 03/17/2018 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 7416499793 |
|---|---|
| Medicare Enrollment ID | O20240603002643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497258263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Glenn E Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902108764 PECOS PAC ID: 0143127803 Enrollment ID: I20031229000722 |
| Provider Name | Ira K Grove |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659327112 PECOS PAC ID: 1052303526 Enrollment ID: I20040402000585 |
| Provider Name | Sachchida N Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629118468 PECOS PAC ID: 2769430420 Enrollment ID: I20050110000380 |
| Provider Name | Nicholas A Rogers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124203583 PECOS PAC ID: 7618128778 Enrollment ID: I20121119000438 |
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