| Snf Wound Care | |
|
1244 Benedict Canyon Dr Beverly Hills CA 90210-2728 | |
| (833) 379-6863 | |
| (833) 379-6863 |
| Full Name | Snf Wound Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1244 Benedict Canyon Dr, Beverly Hills, California |
| Authorized Official Name and Position | Payam M Tehrani (CEO) |
| Authorized Official Contact | 8333796863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Snf Wound Care Po Box 641519 Los Angeles CA 90064-6519 Ph: (310) 270-6181 | Snf Wound Care 1244 Benedict Canyon Dr Beverly Hills CA 90210-2728 Ph: (833) 379-6863 |
| NPI Number | 1114393311 |
|---|---|
| Provider Enumeration Date | 08/11/2015 |
| Last Update Date | 10/04/2023 |
| Medicare PECOS PAC ID | 1759699176 |
|---|---|
| Medicare Enrollment ID | O20151006000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114393311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Arudi L Prabhakar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396710075 PECOS PAC ID: 3274570437 Enrollment ID: I20050411000283 |
| Provider Name | Sujuan Cai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699743815 PECOS PAC ID: 2062448798 Enrollment ID: I20050713000723 |
| Provider Name | Ann E Hutchings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760666226 PECOS PAC ID: 3678658705 Enrollment ID: I20080312000746 |
| Provider Name | Sandra E Schmeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295972685 PECOS PAC ID: 4688725716 Enrollment ID: I20090630000383 |
| Provider Name | Jesse P Gonzaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649348921 PECOS PAC ID: 4082890348 Enrollment ID: I20110520000572 |
| Provider Name | Kulbir Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720179450 PECOS PAC ID: 1456432780 Enrollment ID: I20120126000449 |
| Provider Name | Rosaleen C Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356527055 PECOS PAC ID: 6800043902 Enrollment ID: I20120824000264 |
| Provider Name | Judy L Lock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235354945 PECOS PAC ID: 5496907826 Enrollment ID: I20121212000191 |
| Provider Name | Kristen D Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639410244 PECOS PAC ID: 7214166917 Enrollment ID: I20140129000324 |
| Provider Name | Payam M Tehrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144511338 PECOS PAC ID: 6709005861 Enrollment ID: I20140923000272 |
| Provider Name | Elika Derek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427280510 PECOS PAC ID: 3577792365 Enrollment ID: I20141215001501 |
| Provider Name | Lee Bella A Mandap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629477344 PECOS PAC ID: 7810210457 Enrollment ID: I20150106001556 |
| Provider Name | Rose N Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841676434 PECOS PAC ID: 7416259031 Enrollment ID: I20160113001237 |
| Provider Name | Connie Marie Lapadat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043511900 PECOS PAC ID: 4385872308 Enrollment ID: I20160829003082 |
| Provider Name | Jessie Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457706236 PECOS PAC ID: 5193007698 Enrollment ID: I20170118000449 |
| Provider Name | Eleanor Leal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174054076 PECOS PAC ID: 8729355821 Enrollment ID: I20170519002250 |
| Provider Name | Eugene Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083015887 PECOS PAC ID: 2668693466 Enrollment ID: I20170919001970 |
| Provider Name | Kelley Christian Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053830851 PECOS PAC ID: 1759640956 Enrollment ID: I20180116001339 |
| Provider Name | Julia K Morey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073032504 PECOS PAC ID: 1254692957 Enrollment ID: I20180220002240 |
| Provider Name | Amber Cravens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801309455 PECOS PAC ID: 7113288077 Enrollment ID: I20180309002196 |
| Provider Name | Russell L Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659624948 PECOS PAC ID: 8224390380 Enrollment ID: I20180329002126 |
| Provider Name | Dongyon Roh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043760069 PECOS PAC ID: 2769739911 Enrollment ID: I20180719002151 |
| Provider Name | Tyler J Soga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447743943 PECOS PAC ID: 8022366418 Enrollment ID: I20180801001232 |
| Provider Name | Alejandra Villegas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942736186 PECOS PAC ID: 8820340334 Enrollment ID: I20181011001058 |
| Provider Name | Francis D Antigua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346777695 PECOS PAC ID: 5991042061 Enrollment ID: I20190128001609 |
| Provider Name | Jacqueline Lomibao Kraetzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811462088 PECOS PAC ID: 0749516342 Enrollment ID: I20190719000299 |
| Provider Name | Douglas P. Frechtman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538578109 PECOS PAC ID: 6103258975 Enrollment ID: I20191115001721 |
| Provider Name | Gamiel Alamares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700391190 PECOS PAC ID: 0648603829 Enrollment ID: I20191202000635 |
| Provider Name | Maria Lourdes Cabula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477037828 PECOS PAC ID: 5991131138 Enrollment ID: I20200205002898 |
| Provider Name | Inna Gisin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184124448 PECOS PAC ID: 3870854169 Enrollment ID: I20200406001317 |
| Provider Name | Phong Duy Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316502297 PECOS PAC ID: 0749619997 Enrollment ID: I20200409000369 |
| Provider Name | Michelle K West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821530163 PECOS PAC ID: 9335491117 Enrollment ID: I20200416000782 |
| Provider Name | Brittany Rae Rollins Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487290789 PECOS PAC ID: 1153742457 Enrollment ID: I20200521002052 |
| Provider Name | Rachelle Diosdado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932714987 PECOS PAC ID: 0749609196 Enrollment ID: I20201002002825 |
| Provider Name | Leonard Iskander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902419575 PECOS PAC ID: 3072926922 Enrollment ID: I20210113002438 |
| Provider Name | Jagjiwan Kaur Dhatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669081337 PECOS PAC ID: 1658785274 Enrollment ID: I20210122000092 |
| Provider Name | Jessica Batterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093327744 PECOS PAC ID: 3375957251 Enrollment ID: I20210204002109 |
| Provider Name | Anna Sabrina Paningbatan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063015162 PECOS PAC ID: 4688898554 Enrollment ID: I20210205001672 |
| Provider Name | Karen Kim Vuong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891312310 PECOS PAC ID: 3577972942 Enrollment ID: I20210514001908 |
| Provider Name | Doreen K Carrillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851948046 PECOS PAC ID: 6608202502 Enrollment ID: I20210611002245 |
| Provider Name | Anthony Kao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366014839 PECOS PAC ID: 6507269750 Enrollment ID: I20210726001209 |
| Provider Name | Christine Marie Moak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003395864 PECOS PAC ID: 2567893746 Enrollment ID: I20210819000000 |
| Provider Name | My Van Luu Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598383689 PECOS PAC ID: 8921496910 Enrollment ID: I20211025000764 |
| Provider Name | Junette Evans Austria Cacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518629526 PECOS PAC ID: 9133518442 Enrollment ID: I20211108001132 |
| Provider Name | Pearlita Ranada Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154994689 PECOS PAC ID: 0840680310 Enrollment ID: I20211124001838 |
| Provider Name | Stacy Kathleen Brinkmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346893310 PECOS PAC ID: 2961893458 Enrollment ID: I20211216001345 |
| Provider Name | Maricel Deveza Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174292874 PECOS PAC ID: 2769873645 Enrollment ID: I20220104000628 |
| Provider Name | Catherine Susie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629734496 PECOS PAC ID: 7416340377 Enrollment ID: I20220217001138 |
| Provider Name | Rovin Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306492368 PECOS PAC ID: 7012301427 Enrollment ID: I20220301001901 |
| Provider Name | Silvia Echeveste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205241528 PECOS PAC ID: 6709271109 Enrollment ID: I20220322002055 |
| Provider Name | Keshav R Khadka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306594478 PECOS PAC ID: 0547648479 Enrollment ID: I20220606002852 |
| Provider Name | Jesus Sabala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881274512 PECOS PAC ID: 5193106045 Enrollment ID: I20220722002615 |
| Provider Name | Pamela Marie Gossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922047976 PECOS PAC ID: 4880669050 Enrollment ID: I20221221002708 |
| Provider Name | Geoffrey Benin De Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174236756 PECOS PAC ID: 3173987807 Enrollment ID: I20230914001349 |
| Provider Name | Tamara Sue Pippin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508569567 PECOS PAC ID: 8628422532 Enrollment ID: I20231012000085 |
| Provider Name | Kimberly Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992574156 PECOS PAC ID: 0941652804 Enrollment ID: I20240117001140 |
| Provider Name | Preeti Jamarai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336922640 PECOS PAC ID: 5496105207 Enrollment ID: I20240321000094 |
| Provider Name | Laurinda Enuyami Coker-howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891574877 PECOS PAC ID: 7315386281 Enrollment ID: I20240411004880 |
| Provider Name | Stephanie-ann Marie Sarlo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558943944 PECOS PAC ID: 2769821008 Enrollment ID: I20240418003073 |
| Provider Name | Marissa Manansala Aranzaso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730684655 PECOS PAC ID: 9739411224 Enrollment ID: I20240506003287 |
| Provider Name | Kristopher Soriano Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174302350 PECOS PAC ID: 7012450356 Enrollment ID: I20240614003058 |
| Provider Name | Eyana Denise Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740062041 PECOS PAC ID: 0143764845 Enrollment ID: I20240705002006 |
| Provider Name | Julius Timothy Yorac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124890843 PECOS PAC ID: 5890227326 Enrollment ID: I20241022001775 |
| Provider Name | Christiane Wiemken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720627912 PECOS PAC ID: 4385070705 Enrollment ID: I20241023002364 |
| Provider Name | Sheeja George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508309782 PECOS PAC ID: 6305370610 Enrollment ID: I20241108002766 |
| Provider Name | Carrie Michelle Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528432952 PECOS PAC ID: 9931632239 Enrollment ID: I20241113001207 |
| Provider Name | Marlis Juliet Hamory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043990237 PECOS PAC ID: 5496279069 Enrollment ID: I20250404002834 |
Boulevard Pharmacy Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8950 W Olympic Blvd Ste 103&104, Beverly Hills, CA 90211 Phone: 310-274-8080 | |
Refael Medical, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8200 Wilshire Blvd, Beverly Hills, CA 90211 Phone: 310-879-7167 Fax: 310-933-5688 | |
Michael D. Borookhim, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9301 Wilshire Blvd, Suite 602, Beverly Hills, CA 90210 Phone: 310-288-0881 | |
Ultrasound Specialists Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9001 Wilshire Blvd, Suite 106, Beverly Hills, CA 90211 Phone: 310-273-8885 | |
Kaiser Permanente Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 S Arnaz Dr Apt 3, Beverly Hills, CA 90211 Phone: 213-215-5142 | |
Nancy P. Rahnama, M.d., A.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 N Rodeo Dr, Penthouse Number 1, Beverly Hills, CA 90210 Phone: 310-299-7373 Fax: 310-432-6647 | |
Linkwise Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 Phone: 310-526-7405 |