| Pmd Medical PC | |
|
13047 Artesia Blvd Ste C200 Cerritos CA 90703-5700 | |
| (562) 924-1555 | |
| (562) 924-1554 |
| Full Name | Pmd Medical PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 13047 Artesia Blvd Ste C200, Cerritos, California |
| Authorized Official Name and Position | Steven Lake (DOCTOR) |
| Authorized Official Contact | 5629241555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmd Medical PC 13047 Artesia Blvd Ste C200 Cerritos CA 90703-5700 Ph: (562) 924-1555 | Pmd Medical PC 13047 Artesia Blvd Ste C200 Cerritos CA 90703-5700 Ph: (562) 924-1555 |
| NPI Number | 1881495695 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Medicare PECOS PAC ID | 7517469554 |
|---|---|
| Medicare Enrollment ID | O20250908003120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881495695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Nghi D Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255410320 PECOS PAC ID: 1456380328 Enrollment ID: I20050810001145 |
| Provider Name | Steven J Lake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669494001 PECOS PAC ID: 4486799145 Enrollment ID: I20100305000088 |
| Provider Name | Subrato Ghosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083607055 PECOS PAC ID: 5193997617 Enrollment ID: I20150526001962 |
| Provider Name | Unakem a Kazeem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043612120 PECOS PAC ID: 3476773599 Enrollment ID: I20161129002641 |
| Provider Name | Marina Wilson Riad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124858758 PECOS PAC ID: 0143743526 Enrollment ID: I20250326001876 |
| Provider Name | Bich Thu Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841912771 PECOS PAC ID: 7214423359 Enrollment ID: I20251229001425 |
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