| Southern California Infectious Disease Medical Group | |
|
2325 Townsgate Rd Suite 100 Westlake Village CA 91361-5986 | |
| (213) 483-0901 | |
| (213) 483-6650 |
| Full Name | Southern California Infectious Disease Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2325 Townsgate Rd, Westlake Village, California |
| Authorized Official Name and Position | Suman Radhakrishna (MD/PARTNER) |
| Authorized Official Contact | 2134830901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Infectious Disease Medical Group Po Box 2190 La Habra CA 90632-2190 Ph: (213) 483-0901 | Southern California Infectious Disease Medical Group 2325 Townsgate Rd Suite 100 Westlake Village CA 91361-5986 Ph: (213) 483-0901 |
| NPI Number | 1639100662 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 12/04/2025 |
| Medicare PECOS PAC ID | 5799714135 |
|---|---|
| Medicare Enrollment ID | O20050805000896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639100662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | W11997 (California) | Primary |
| Provider Name | Joseph M Nussbaum |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922033463 PECOS PAC ID: 0345277539 Enrollment ID: I20050719001163 |
| Provider Name | Suman Mallur Radhakrishna |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225069248 PECOS PAC ID: 0446255855 Enrollment ID: I20060918000473 |
| Provider Name | Alexander Kim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881629335 PECOS PAC ID: 4789680950 Enrollment ID: I20061011000237 |
| Provider Name | James D Homans |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841398005 PECOS PAC ID: 1052448560 Enrollment ID: I20100414000723 |
Dayamed, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32144 Agoura Rd Ste 206, Westlake Village, CA 91361 Phone: 805-371-4820 | |
R. Dhanes A Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1240 S Westlake Blvd Ste 113, Westlake Village, CA 91361 Phone: 805-495-4527 | |
Instadr Pc Ca Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30839 E Thousand Oaks Blvd, Westlake Village, CA 91362 Phone: 310-402-4589 Fax: 310-564-2814 | |
Razmig Krumian D.o. A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32144 Agoura Rd, Suite 218, Westlake Village, CA 91361 Phone: 818-889-9230 Fax: 818-889-9235 | |
Integrated Acupuncture & Herbs Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 890 Hampshire Rd, Suite S, Westlake Village, CA 91361 Phone: 805-379-1108 Fax: 805-379-2779 | |
Hanzelik And Horton, Mds, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1240 Westlake Blvd, Suite 231, Westlake Village, CA 91361 Phone: 805-446-4444 Fax: 805-497-4650 | |
Caroline C. Pieszak M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 La Venta Dr Ste 105, Westlake Village, CA 91361 Phone: 805-777-7242 Fax: 805-777-7242 |