<unavail> in Los Angeles, CA - Medicare Psychiatry & Neurology

is a medicare enrolled primary clinic (Psychiatry & Neurology - Psychiatry) in Los Angeles, California. The current practice location for is 5675 West Olympic Blvd., Los Angeles, California. For appointments, you can reach them via phone at (213) 422-6853. The mailing address for is 2324 Lillyvale Ave Apt 143, Los Angeles, California and phone number is (213) 422-6853.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1588364327. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (213) 422-6853.

Contact Information


	5675 West Olympic Blvd. Los Angeles CA 90036
	(213) 422-6853
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Psychiatry & Neurology
Location	5675 West Olympic Blvd., Los Angeles, California
Authorized Official Name and Position	Vijay Chandran (CEO)
Authorized Official Contact	2134226853
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2324 Lillyvale Ave Apt 143 Los Angeles CA 90032-3580 Ph: (213) 422-6853	5675 West Olympic Blvd. Los Angeles CA 90036 Ph: (213) 422-6853

NPI Details:

NPI Number	1588364327
Provider Enumeration Date	03/09/2023
Last Update Date	05/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	4486190857
Medicare Enrollment ID	O20240722001893

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588364327	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	(* (Not Available))	Primary
2084P0802X	Psychiatry & Neurology - Addiction Psychiatry	(* (Not Available))	Secondary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Vijay Chandran
Provider Type	Practitioner - Psychiatry
Provider Identifiers	NPI Number: 1801283692 PECOS PAC ID: 5193189405 Enrollment ID: I20240402002114

Reviews and Comments

Psychiatry & Neurology in Los Angeles, CA

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Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599
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- Medicare Primary Care in Los Angeles, CA