| Torrance Memorial Physician Network | |
|
3333 Skypark Dr Suite 100 Torrance CA 90505-5023 | |
| (310) 784-6300 | |
| (310) 891-6758 |
| Full Name | Torrance Memorial Physician Network |
|---|---|
| Speciality | Family Medicine |
| Location | 3333 Skypark Dr, Torrance, California |
| Authorized Official Name and Position | Heidi Assigal (VICE PRESIDENT) |
| Authorized Official Contact | 3102577205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Torrance Memorial Physician Network 23326 Hawthorne Blvd Suite 200 Torrance CA 90505-3725 Ph: (310) 257-7205 | Torrance Memorial Physician Network 3333 Skypark Dr Suite 100 Torrance CA 90505-5023 Ph: (310) 784-6300 |
| NPI Number | 1083903124 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 04/10/2024 |
| Medicare PECOS PAC ID | 1355302134 |
|---|---|
| Medicare Enrollment ID | O20110819000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083903124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ankush Chhabra |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1750308318 PECOS PAC ID: 7810800158 Enrollment ID: I20031111000903 |
| Provider Name | Heidi Hoffman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669426409 PECOS PAC ID: 1850295478 Enrollment ID: I20031124000835 |
| Provider Name | Deepjot K Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093817843 PECOS PAC ID: 8022912641 Enrollment ID: I20031124000837 |
| Provider Name | Robin E Kaminsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821038035 PECOS PAC ID: 6305743279 Enrollment ID: I20031217001102 |
| Provider Name | Daniel M Zinar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720074461 PECOS PAC ID: 8628979143 Enrollment ID: I20040117000135 |
| Provider Name | David H Wallis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255383139 PECOS PAC ID: 8921992199 Enrollment ID: I20040209001308 |
| Provider Name | Hakimeh B Kadivar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679560320 PECOS PAC ID: 9931094091 Enrollment ID: I20040217001179 |
| Provider Name | Aqdas S Kuraishi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306880596 PECOS PAC ID: 3577458611 Enrollment ID: I20040218000434 |
| Provider Name | David Chan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972591378 PECOS PAC ID: 6204733579 Enrollment ID: I20040220001011 |
| Provider Name | Valente C Ramos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437179066 PECOS PAC ID: 3476449695 Enrollment ID: I20040225000334 |
| Provider Name | Maria K Lui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134172885 PECOS PAC ID: 5395659718 Enrollment ID: I20040304001385 |
| Provider Name | Joe Nakagawa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346257854 PECOS PAC ID: 1153219399 Enrollment ID: I20040309000345 |
| Provider Name | Mitchell Parver |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912959438 PECOS PAC ID: 4183513328 Enrollment ID: I20040315000322 |
| Provider Name | Katrina M Vlachos |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932126802 PECOS PAC ID: 2567353782 Enrollment ID: I20040324001239 |
| Provider Name | Nicole K Alexander-spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528175395 PECOS PAC ID: 4486546173 Enrollment ID: I20040326001249 |
| Provider Name | Alexander J Shen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710091723 PECOS PAC ID: 6507850187 Enrollment ID: I20040414001468 |
| Provider Name | Victoria Y Shin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841481173 PECOS PAC ID: 5698764512 Enrollment ID: I20040506001743 |
| Provider Name | Sarwatt Mahmud |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982785713 PECOS PAC ID: 5193714517 Enrollment ID: I20040511000527 |
| Provider Name | Tiffany Rogers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295725026 PECOS PAC ID: 7517958200 Enrollment ID: I20040520001579 |
| Provider Name | John Louie Go |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982643060 PECOS PAC ID: 1850375239 Enrollment ID: I20040614001669 |
| Provider Name | Deren M Sinkowitz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619957750 PECOS PAC ID: 9830178458 Enrollment ID: I20040716001078 |
| Provider Name | Zachary A Gray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699791517 PECOS PAC ID: 8628058385 Enrollment ID: I20040722001045 |
| Provider Name | Paul J Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003862376 PECOS PAC ID: 6901877497 Enrollment ID: I20040805001695 |
| Provider Name | Michelle A Charfen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588602486 PECOS PAC ID: 3072587641 Enrollment ID: I20040820000679 |
| Provider Name | Bradley C Mcafee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740206945 PECOS PAC ID: 2769456649 Enrollment ID: I20040826001418 |
| Provider Name | Jasminka M Criley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174535017 PECOS PAC ID: 8426024738 Enrollment ID: I20040908000974 |
| Provider Name | Rosanne Kay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346332293 PECOS PAC ID: 7810965100 Enrollment ID: I20040924000453 |
| Provider Name | Peter W Joyce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902848914 PECOS PAC ID: 3274592373 Enrollment ID: I20041005000757 |
| Provider Name | David Ira Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730273764 PECOS PAC ID: 2668431552 Enrollment ID: I20041006001013 |
| Provider Name | Katherine V Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750370060 PECOS PAC ID: 1850354515 Enrollment ID: I20041104000652 |
| Provider Name | Michael P Tarnay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598866642 PECOS PAC ID: 2163488230 Enrollment ID: I20041209000854 |
| Provider Name | Elisa I Anhalt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194773424 PECOS PAC ID: 8325005424 Enrollment ID: I20041209001093 |
| Provider Name | Darren Lee Bedolla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114956299 PECOS PAC ID: 3476510579 Enrollment ID: I20041209001113 |
| Provider Name | George J So |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821041195 PECOS PAC ID: 5193782290 Enrollment ID: I20041209001117 |
| Provider Name | Stephen L Nuccion |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427165703 PECOS PAC ID: 3375500523 Enrollment ID: I20041220000357 |
| Provider Name | Ricardo E Huete |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184630683 PECOS PAC ID: 0648229450 Enrollment ID: I20050119000762 |
| Provider Name | Chad M Venne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730237520 PECOS PAC ID: 2567413958 Enrollment ID: I20050202000952 |
| Provider Name | Mitchell J Sklar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619929122 PECOS PAC ID: 1557313459 Enrollment ID: I20050218000813 |
| Provider Name | William Weitin Tarng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376545723 PECOS PAC ID: 4486551751 Enrollment ID: I20050225000834 |
| Provider Name | Ujjwala S Dheeriya |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770508582 PECOS PAC ID: 7911950936 Enrollment ID: I20050301000992 |
| Provider Name | Dawn L Brandewie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316064652 PECOS PAC ID: 4385681212 Enrollment ID: I20050412001500 |
| Provider Name | Marcia S Blank |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962570051 PECOS PAC ID: 3779522073 Enrollment ID: I20050426001469 |
| Provider Name | Mark D Lurie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326057670 PECOS PAC ID: 8628018017 Enrollment ID: I20050504001239 |
| Provider Name | Andrew G Horodner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386849974 PECOS PAC ID: 8224072202 Enrollment ID: I20050611000011 |
| Provider Name | Kalpana S Hool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629043799 PECOS PAC ID: 7012952401 Enrollment ID: I20050627000339 |
| Provider Name | John T Abe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578542569 PECOS PAC ID: 3678500147 Enrollment ID: I20050726001054 |
| Provider Name | Fred L Reitler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245280940 PECOS PAC ID: 3678506193 Enrollment ID: I20050915000305 |
| Provider Name | Jimmy C Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376574624 PECOS PAC ID: 6002841715 Enrollment ID: I20050930000850 |
| Provider Name | Lauren E Choi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699736132 PECOS PAC ID: 0941225551 Enrollment ID: I20051012001234 |
| Provider Name | Anna Mellor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316998776 PECOS PAC ID: 4789617200 Enrollment ID: I20051115001103 |
| Provider Name | Frances A Mckindsey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568417434 PECOS PAC ID: 1355360660 Enrollment ID: I20051116000477 |
| Provider Name | Maria M Vollucci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922181213 PECOS PAC ID: 3971524893 Enrollment ID: I20051207000660 |
| Provider Name | Lee G Kissel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164473351 PECOS PAC ID: 5991727265 Enrollment ID: I20051229000799 |
| Provider Name | Mark P Gellman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669493375 PECOS PAC ID: 8022022581 Enrollment ID: I20060203000438 |
| Provider Name | Russell W Dickerson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023062320 PECOS PAC ID: 5890685283 Enrollment ID: I20060208000881 |
| Provider Name | Anthony J Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669430187 PECOS PAC ID: 6406863265 Enrollment ID: I20060321000200 |
| Provider Name | Khalid M Eltawil |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396724399 PECOS PAC ID: 7810908605 Enrollment ID: I20060508000754 |
| Provider Name | Mary R Doost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902853419 PECOS PAC ID: 3779594973 Enrollment ID: I20060602000111 |
| Provider Name | Mladen A Rasic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659313971 PECOS PAC ID: 0143233395 Enrollment ID: I20060711000308 |
| Provider Name | Donald B Striplin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104863323 PECOS PAC ID: 3274536636 Enrollment ID: I20060824000528 |
| Provider Name | S John Whang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851346548 PECOS PAC ID: 5294774881 Enrollment ID: I20060831000330 |
| Provider Name | Dilrukshie V Cooray |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366548646 PECOS PAC ID: 8729085758 Enrollment ID: I20061103000231 |
| Provider Name | Catherine J Lawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649279043 PECOS PAC ID: 1153321104 Enrollment ID: I20061222000192 |
| Provider Name | Khanh T Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679667364 PECOS PAC ID: 7618979956 Enrollment ID: I20070215000305 |
| Provider Name | Tanya Arvan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104827666 PECOS PAC ID: 3274637426 Enrollment ID: I20070328000692 |
| Provider Name | Susan J Kaspian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124162151 PECOS PAC ID: 7618075102 Enrollment ID: I20070606000760 |
| Provider Name | Donny N Baek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316075542 PECOS PAC ID: 1153420310 Enrollment ID: I20070628000524 |
| Provider Name | Asad U Khaja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679612360 PECOS PAC ID: 6608976766 Enrollment ID: I20070703000407 |
| Provider Name | Ernest K Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417032830 PECOS PAC ID: 5496840126 Enrollment ID: I20070926000912 |
| Provider Name | Michael C Yu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366581290 PECOS PAC ID: 0941399323 Enrollment ID: I20071207000807 |
| Provider Name | Anahid J Kwiatkouski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780731810 PECOS PAC ID: 5092895946 Enrollment ID: I20080123000923 |
| Provider Name | Charles M Mehringer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487695136 PECOS PAC ID: 7810070141 Enrollment ID: I20080211000287 |
| Provider Name | Keri R Zickuhr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891993762 PECOS PAC ID: 6709955784 Enrollment ID: I20080516000145 |
| Provider Name | Thomas E Lowe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801968334 PECOS PAC ID: 1759453749 Enrollment ID: I20080708000635 |
| Provider Name | Cynthia H Ro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598946790 PECOS PAC ID: 7618044363 Enrollment ID: I20080922000271 |
| Provider Name | Amanda W Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871794347 PECOS PAC ID: 8820157332 Enrollment ID: I20081112000382 |
| Provider Name | Kelley A Prince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174682124 PECOS PAC ID: 3577623834 Enrollment ID: I20081118000021 |
| Provider Name | Susan N Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790936649 PECOS PAC ID: 7416018767 Enrollment ID: I20081205000267 |
| Provider Name | Eve L Makoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659402576 PECOS PAC ID: 9931260700 Enrollment ID: I20081211000620 |
| Provider Name | Vanessa Vianey Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891836425 PECOS PAC ID: 8921160656 Enrollment ID: I20081215000301 |
| Provider Name | Tam B Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548448236 PECOS PAC ID: 5698839488 Enrollment ID: I20090128000580 |
| Provider Name | Courtney Zamzow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831344068 PECOS PAC ID: 6103981485 Enrollment ID: I20090220000161 |
| Provider Name | Tauseef Haider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194803312 PECOS PAC ID: 6103858865 Enrollment ID: I20090416000168 |
| Provider Name | Marc F Colman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548274947 PECOS PAC ID: 2163522665 Enrollment ID: I20090416000515 |
| Provider Name | Gene Hawkins |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245328079 PECOS PAC ID: 3173671690 Enrollment ID: I20090511000161 |
| Provider Name | Michael A Noronha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114003316 PECOS PAC ID: 5799853784 Enrollment ID: I20090512000150 |
| Provider Name | Cheryl Lynn Sanders |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619948395 PECOS PAC ID: 1456401249 Enrollment ID: I20090617000350 |
| Provider Name | Soha Elgharib |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528091170 PECOS PAC ID: 5991856452 Enrollment ID: I20090624000383 |
| Provider Name | Roy C Fu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972686632 PECOS PAC ID: 1658423751 Enrollment ID: I20090721000655 |
| Provider Name | David D Rand |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942271275 PECOS PAC ID: 1759434939 Enrollment ID: I20090805000631 |
| Provider Name | Clifford Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831299528 PECOS PAC ID: 7517011364 Enrollment ID: I20090813000572 |
| Provider Name | Saadia R Chaudhary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194843326 PECOS PAC ID: 9931251246 Enrollment ID: I20090814000047 |
| Provider Name | Jennifer Baars |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578785218 PECOS PAC ID: 9032259585 Enrollment ID: I20091215000222 |
| Provider Name | Rumi Cader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508898214 PECOS PAC ID: 9335247774 Enrollment ID: I20091229000348 |
| Provider Name | Milena Shakhbazona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043494313 PECOS PAC ID: 7517007339 Enrollment ID: I20091229000382 |
| Provider Name | Moin Salah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386886190 PECOS PAC ID: 9032251103 Enrollment ID: I20100127000879 |
| Provider Name | Mark F Adriatico |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194913608 PECOS PAC ID: 9931242153 Enrollment ID: I20100210000042 |
| Provider Name | Brian R Miura |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801820527 PECOS PAC ID: 5395871560 Enrollment ID: I20100326000385 |
| Provider Name | Don P Sanders |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134235179 PECOS PAC ID: 9133186372 Enrollment ID: I20100326000630 |
| Provider Name | Carmen N Gossette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225238850 PECOS PAC ID: 0648300772 Enrollment ID: I20100616000086 |
| Provider Name | Melvin Snyder |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942388962 PECOS PAC ID: 4789629445 Enrollment ID: I20100809000217 |
| Provider Name | Nosrat A Nabavi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336227263 PECOS PAC ID: 5294869095 Enrollment ID: I20100816000711 |
| Provider Name | Raju Hassanand Wadhwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023006103 PECOS PAC ID: 3375667413 Enrollment ID: I20100826000714 |
| Provider Name | Robert N Glazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528044815 PECOS PAC ID: 0042334104 Enrollment ID: I20100826000919 |
| Provider Name | Tracy E Bercu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992927230 PECOS PAC ID: 1951426048 Enrollment ID: I20100913000977 |
| Provider Name | Andrew Lim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457468738 PECOS PAC ID: 5991701302 Enrollment ID: I20100915000700 |
| Provider Name | Robert D Swift |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699751693 PECOS PAC ID: 8527184795 Enrollment ID: I20100924000462 |
| Provider Name | Richard E Krauthamer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285685172 PECOS PAC ID: 5395754659 Enrollment ID: I20100924001302 |
| Provider Name | David N Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558313072 PECOS PAC ID: 3375552649 Enrollment ID: I20100927000179 |
| Provider Name | Rachel A Knopoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114977717 PECOS PAC ID: 1456477223 Enrollment ID: I20100929000949 |
| Provider Name | Albert Grabb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003865783 PECOS PAC ID: 8921017294 Enrollment ID: I20100929001187 |
| Provider Name | Randolph Craig Ohara |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114034477 PECOS PAC ID: 3779540919 Enrollment ID: I20101012000097 |
| Provider Name | Nicholas Joseph Silvino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245347509 PECOS PAC ID: 7517926587 Enrollment ID: I20101018000389 |
| Provider Name | Jerome Harold Unatin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619084969 PECOS PAC ID: 9234196478 Enrollment ID: I20101020000051 |
| Provider Name | Eduardo J Anorga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235312752 PECOS PAC ID: 0446332837 Enrollment ID: I20101030000129 |
| Provider Name | Elaine K Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700862729 PECOS PAC ID: 5193919108 Enrollment ID: I20101103001406 |
| Provider Name | Peter C Tseng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508921396 PECOS PAC ID: 3072700509 Enrollment ID: I20101209001261 |
| Provider Name | Eric C Nakkim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124123054 PECOS PAC ID: 0941499438 Enrollment ID: I20110114000237 |
| Provider Name | James A Mckinnell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942403035 PECOS PAC ID: 3173702537 Enrollment ID: I20110201000363 |
| Provider Name | Kari M Ogata |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699818385 PECOS PAC ID: 3678753456 Enrollment ID: I20110210001024 |
| Provider Name | Barbara L Schulz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740251420 PECOS PAC ID: 6002717212 Enrollment ID: I20110304000091 |
| Provider Name | Pavanjit M Brar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033250774 PECOS PAC ID: 0547443830 Enrollment ID: I20110323001042 |
| Provider Name | Matthew W Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255668836 PECOS PAC ID: 4082897376 Enrollment ID: I20110323001062 |
| Provider Name | Stephanie Lay Tang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720240526 PECOS PAC ID: 1153506662 Enrollment ID: I20110427000537 |
| Provider Name | Eric N Milefchik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851362131 PECOS PAC ID: 6709818271 Enrollment ID: I20110621000552 |
| Provider Name | Ziba Jalali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902855232 PECOS PAC ID: 5597786855 Enrollment ID: I20110621000645 |
| Provider Name | Angelica M Malicdem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942271226 PECOS PAC ID: 3678751690 Enrollment ID: I20110622000297 |
| Provider Name | Samuel Sang-bum Nam |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1396936951 PECOS PAC ID: 5294904124 Enrollment ID: I20110811000183 |
| Provider Name | Hosam Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881846475 PECOS PAC ID: 2668641135 Enrollment ID: I20110818000193 |
| Provider Name | Grace T Kiet |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104023688 PECOS PAC ID: 6103096136 Enrollment ID: I20110831000458 |
| Provider Name | Rebecca R Hu |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457640302 PECOS PAC ID: 9830360676 Enrollment ID: I20110927000495 |
| Provider Name | Amy A Yaghmai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821104274 PECOS PAC ID: 6002896610 Enrollment ID: I20111020000505 |
| Provider Name | David Howard Stern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699798694 PECOS PAC ID: 0042483620 Enrollment ID: I20111026000586 |
| Provider Name | Brian D Sherman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942462056 PECOS PAC ID: 8224204201 Enrollment ID: I20111221000352 |
| Provider Name | Syed M Jilani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629067442 PECOS PAC ID: 1254507551 Enrollment ID: I20120109000769 |
| Provider Name | Hugo Hool |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417944489 PECOS PAC ID: 6002073350 Enrollment ID: I20120130000346 |
| Provider Name | Vanessa L Dickey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497742472 PECOS PAC ID: 6507023884 Enrollment ID: I20120130000645 |
| Provider Name | Jason A Davis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053600940 PECOS PAC ID: 5193984433 Enrollment ID: I20120306000977 |
| Provider Name | Srinivas Yanamadala |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346321510 PECOS PAC ID: 8123288453 Enrollment ID: I20120323000559 |
| Provider Name | Jonathan K Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720215486 PECOS PAC ID: 9830351790 Enrollment ID: I20120510000404 |
| Provider Name | Genevieve L Hasek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780848085 PECOS PAC ID: 7618130360 Enrollment ID: I20120517000142 |
| Provider Name | Hovsep R Babayan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740435460 PECOS PAC ID: 7618130139 Enrollment ID: I20120521000521 |
| Provider Name | Tasneem A Bholat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114151271 PECOS PAC ID: 5597928960 Enrollment ID: I20120522001098 |
| Provider Name | Alya D Torna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306051024 PECOS PAC ID: 2062543788 Enrollment ID: I20120523000506 |
| Provider Name | Yusha Ikhtabar Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265662340 PECOS PAC ID: 2860648722 Enrollment ID: I20120808000430 |
| Provider Name | Kristen G Kerekes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528328101 PECOS PAC ID: 8921255654 Enrollment ID: I20120830000658 |
| Provider Name | Sharon M Walder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568509693 PECOS PAC ID: 1355243445 Enrollment ID: I20120917000451 |
| Provider Name | Sadia S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225271125 PECOS PAC ID: 2668621558 Enrollment ID: I20121010000025 |
| Provider Name | Jennifer B Michael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366612749 PECOS PAC ID: 2264620707 Enrollment ID: I20121108000161 |
| Provider Name | Richard H Huynh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184858243 PECOS PAC ID: 3274784152 Enrollment ID: I20121127000699 |
| Provider Name | Taraneh Tehrani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689731648 PECOS PAC ID: 2264587534 Enrollment ID: I20121231000007 |
| Provider Name | Michelle G Barhaghi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104083922 PECOS PAC ID: 5698947281 Enrollment ID: I20130708000246 |
| Provider Name | Gina P Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619265022 PECOS PAC ID: 9335380690 Enrollment ID: I20130729000804 |
| Provider Name | Natalie Zelta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689962664 PECOS PAC ID: 2567613771 Enrollment ID: I20130812000141 |
| Provider Name | Mary Cecilia Hannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275824518 PECOS PAC ID: 5991966350 Enrollment ID: I20130813000508 |
| Provider Name | Elisabeth A Jannicky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538397674 PECOS PAC ID: 6406003904 Enrollment ID: I20130820000438 |
| Provider Name | Tiffany T Trinh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891007084 PECOS PAC ID: 2567605025 Enrollment ID: I20130830000617 |
| Provider Name | Lisa M Coles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578751129 PECOS PAC ID: 2163597469 Enrollment ID: I20131031001622 |
| Provider Name | Ana Lopez Osullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235363193 PECOS PAC ID: 8022244540 Enrollment ID: I20131111001462 |
| Provider Name | Monquen Huang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477782035 PECOS PAC ID: 8921234253 Enrollment ID: I20131115000302 |
| Provider Name | Babar Saeed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093989618 PECOS PAC ID: 2365588340 Enrollment ID: I20140111000317 |
| Provider Name | Hung Nguyen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255590444 PECOS PAC ID: 9234368937 Enrollment ID: I20140129000259 |
| Provider Name | Christopher M Hoshino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881881431 PECOS PAC ID: 7315177979 Enrollment ID: I20140226001076 |
| Provider Name | Izzat Alamdari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770881781 PECOS PAC ID: 6305060427 Enrollment ID: I20140611001717 |
| Provider Name | Jung-ok Ha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104092667 PECOS PAC ID: 8729153382 Enrollment ID: I20140618000016 |
| Provider Name | Jayson Weir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518257138 PECOS PAC ID: 2163647355 Enrollment ID: I20140701002282 |
| Provider Name | Christina M Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851584007 PECOS PAC ID: 7214153824 Enrollment ID: I20140716002238 |
| Provider Name | Michelle Y Mcnee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083856868 PECOS PAC ID: 0648498238 Enrollment ID: I20140822001453 |
| Provider Name | Shannon Stacy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043373087 PECOS PAC ID: 8224257118 Enrollment ID: I20140908001201 |
| Provider Name | Christianne C Kisner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104247683 PECOS PAC ID: 6901128735 Enrollment ID: I20141208000015 |
| Provider Name | Dawn E Switzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689898462 PECOS PAC ID: 2163746561 Enrollment ID: I20150113000401 |
| Provider Name | Mary Beth Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851331821 PECOS PAC ID: 2264595834 Enrollment ID: I20150122000010 |
| Provider Name | Jessica L Gunderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144558503 PECOS PAC ID: 8921323759 Enrollment ID: I20150218002494 |
| Provider Name | Benedict T Chou |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770759375 PECOS PAC ID: 6901123769 Enrollment ID: I20150317000231 |
| Provider Name | Sunil S Hebbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619236593 PECOS PAC ID: 3072834779 Enrollment ID: I20150605002988 |
| Provider Name | Jeffrey Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457679631 PECOS PAC ID: 6002127149 Enrollment ID: I20150616002742 |
| Provider Name | Ben Tseng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710206347 PECOS PAC ID: 5092026062 Enrollment ID: I20150617000728 |
| Provider Name | Kevin L Mak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841559002 PECOS PAC ID: 0840502167 Enrollment ID: I20150629002999 |
| Provider Name | Sasha Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457742330 PECOS PAC ID: 7810201621 Enrollment ID: I20150806010491 |
| Provider Name | Keith Chumley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932126653 PECOS PAC ID: 4688717846 Enrollment ID: I20150909002261 |
| Provider Name | Lynn M Morton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588047922 PECOS PAC ID: 4486961265 Enrollment ID: I20150910001666 |
| Provider Name | Joe R Gamboa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598072779 PECOS PAC ID: 9931419595 Enrollment ID: I20151111000965 |
| Provider Name | Marianne E Hagiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770953531 PECOS PAC ID: 3375843501 Enrollment ID: I20151119002384 |
| Provider Name | Diana S Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700259835 PECOS PAC ID: 9537460092 Enrollment ID: I20151229001236 |
| Provider Name | Kurt A Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285925271 PECOS PAC ID: 0244535656 Enrollment ID: I20160223002030 |
| Provider Name | Patrick J Pan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326471624 PECOS PAC ID: 1254630171 Enrollment ID: I20160427002302 |
| Provider Name | Prasun Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811147887 PECOS PAC ID: 7618149964 Enrollment ID: I20160510001791 |
| Provider Name | Vladimir Labalo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871880716 PECOS PAC ID: 0446542773 Enrollment ID: I20160707001054 |
| Provider Name | Kristen M Gutermuth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558386243 PECOS PAC ID: 3375670979 Enrollment ID: I20160719000084 |
| Provider Name | Kate E Niehoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114364338 PECOS PAC ID: 0547583056 Enrollment ID: I20160726002718 |
| Provider Name | Kim Mai T Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417185588 PECOS PAC ID: 3375706468 Enrollment ID: I20160808000675 |
| Provider Name | Swati Sikaria |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497048060 PECOS PAC ID: 5799079778 Enrollment ID: I20160815001264 |
| Provider Name | Ajit Singh Mannan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659613719 PECOS PAC ID: 5890097125 Enrollment ID: I20160823003116 |
| Provider Name | Roseann S Chu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831532282 PECOS PAC ID: 1951697630 Enrollment ID: I20160906002150 |
| Provider Name | Nicole D Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487094918 PECOS PAC ID: 9739475146 Enrollment ID: I20160912001607 |
| Provider Name | Keyur A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558595355 PECOS PAC ID: 0143472258 Enrollment ID: I20160913002833 |
| Provider Name | Anshu K Buttan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093158891 PECOS PAC ID: 9133416555 Enrollment ID: I20160928000759 |
| Provider Name | Lindsey E Brucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669762688 PECOS PAC ID: 0840579223 Enrollment ID: I20161108002226 |
| Provider Name | Gaurav Banka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205129731 PECOS PAC ID: 0042590960 Enrollment ID: I20161212002296 |
| Provider Name | Panteha Rezaeian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295155109 PECOS PAC ID: 6709167026 Enrollment ID: I20161228002303 |
| Provider Name | Deborah Wallach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326594144 PECOS PAC ID: 7315229416 Enrollment ID: I20170125002283 |
| Provider Name | Jenny Luo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275807281 PECOS PAC ID: 3375760879 Enrollment ID: I20170503001971 |
| Provider Name | Deepak H Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023428851 PECOS PAC ID: 3072890763 Enrollment ID: I20170505001863 |
| Provider Name | Frank Kuo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922418797 PECOS PAC ID: 6406075803 Enrollment ID: I20170509001856 |
| Provider Name | Hana Lim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992124333 PECOS PAC ID: 9931499670 Enrollment ID: I20170530002189 |
| Provider Name | Teresa J Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386078327 PECOS PAC ID: 0648547109 Enrollment ID: I20170605001230 |
| Provider Name | Ayushi Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376953240 PECOS PAC ID: 4082982939 Enrollment ID: I20170616001417 |
| Provider Name | Ahad A Shiraz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356683932 PECOS PAC ID: 9830477041 Enrollment ID: I20170830004047 |
| Provider Name | Gary Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629495585 PECOS PAC ID: 4688807423 Enrollment ID: I20170922003557 |
| Provider Name | Hiva Bastanmehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396751194 PECOS PAC ID: 3476829441 Enrollment ID: I20171018001781 |
| Provider Name | Stefanie I Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164934931 PECOS PAC ID: 8729346648 Enrollment ID: I20171227000220 |
| Provider Name | Leah N Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386150431 PECOS PAC ID: 3678834710 Enrollment ID: I20180306000712 |
| Provider Name | Jamie Kagihara |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245590447 PECOS PAC ID: 7113289554 Enrollment ID: I20180322001015 |
| Provider Name | W Alexander Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083075303 PECOS PAC ID: 1456616366 Enrollment ID: I20180524001004 |
| Provider Name | Veronica Solorio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932581980 PECOS PAC ID: 2567717598 Enrollment ID: I20180615001122 |
| Provider Name | Sina Samie |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1992191514 PECOS PAC ID: 8527337435 Enrollment ID: I20180618002215 |
| Provider Name | Omar Aly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265724389 PECOS PAC ID: 9638398472 Enrollment ID: I20180817003143 |
| Provider Name | Elizabeth A Harleston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194089789 PECOS PAC ID: 1052537511 Enrollment ID: I20180907000245 |
| Provider Name | John P Andrawis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861744419 PECOS PAC ID: 1759655152 Enrollment ID: I20180907001962 |
| Provider Name | John S Mense |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588051171 PECOS PAC ID: 9537410196 Enrollment ID: I20180920000206 |
| Provider Name | Zareen S Choudhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134521784 PECOS PAC ID: 5799037628 Enrollment ID: I20181004000600 |
| Provider Name | Joshua A Tarpley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790179935 PECOS PAC ID: 0143508200 Enrollment ID: I20181015000789 |
| Provider Name | Manuel Hakimi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063873891 PECOS PAC ID: 2668724907 Enrollment ID: I20181015001394 |
| Provider Name | Christina C Hanisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568905990 PECOS PAC ID: 9537432323 Enrollment ID: I20181023000323 |
| Provider Name | Daniel Pechstedt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831597756 PECOS PAC ID: 5698019909 Enrollment ID: I20181127002237 |
| Provider Name | Rachel Cho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720599483 PECOS PAC ID: 3678817327 Enrollment ID: I20181206000997 |
| Provider Name | Carole J Hauser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083816508 PECOS PAC ID: 2668716325 Enrollment ID: I20181206001472 |
| Provider Name | Alexandra N Grossman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467815936 PECOS PAC ID: 0840536348 Enrollment ID: I20190103002218 |
| Provider Name | Sandra Isnasious |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174908685 PECOS PAC ID: 7810238227 Enrollment ID: I20190412000962 |
| Provider Name | Tara C Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124386347 PECOS PAC ID: 8325381296 Enrollment ID: I20190515003421 |
| Provider Name | Phillip Lyle Pangan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831672724 PECOS PAC ID: 1153654298 Enrollment ID: I20190605001394 |
| Provider Name | David Sehwan Kim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043552508 PECOS PAC ID: 9032338488 Enrollment ID: I20190615000269 |
| Provider Name | Francisco N Alvarez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558724823 PECOS PAC ID: 6204134026 Enrollment ID: I20190628002528 |
| Provider Name | Matthew R Mejia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013371400 PECOS PAC ID: 1850628314 Enrollment ID: I20190807001790 |
| Provider Name | Richard Harold Bracken |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598127284 PECOS PAC ID: 4486919826 Enrollment ID: I20190809001879 |
| Provider Name | Mercedeh Modir Shanechi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275914350 PECOS PAC ID: 4082912381 Enrollment ID: I20190827001728 |
| Provider Name | Kaylan N Mavrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174039143 PECOS PAC ID: 2668701384 Enrollment ID: I20190905003419 |
| Provider Name | Kim M Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609275171 PECOS PAC ID: 5597094011 Enrollment ID: I20190909003779 |
| Provider Name | Samuel W Tomich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871947390 PECOS PAC ID: 2163753393 Enrollment ID: I20191018001621 |
| Provider Name | Xuan H Valdez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396108197 PECOS PAC ID: 8729310685 Enrollment ID: I20191025000103 |
| Provider Name | Shintau Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942683487 PECOS PAC ID: 2365793593 Enrollment ID: I20191104001888 |
| Provider Name | Esmeralda Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487905543 PECOS PAC ID: 5890086839 Enrollment ID: I20191114003307 |
| Provider Name | Jason P Alvarado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306229844 PECOS PAC ID: 7416389820 Enrollment ID: I20191122000795 |
| Provider Name | Justin Wayne Wong Tiulim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457892861 PECOS PAC ID: 9133471105 Enrollment ID: I20191122001323 |
| Provider Name | Fereshteh Rajabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912361700 PECOS PAC ID: 1951695162 Enrollment ID: I20191216001152 |
| Provider Name | Heather Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699246371 PECOS PAC ID: 9335574516 Enrollment ID: I20200116000248 |
| Provider Name | Tiffany L Hsu |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1740642248 PECOS PAC ID: 4284069105 Enrollment ID: I20200122002167 |
| Provider Name | Nidhi Agarwal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518387125 PECOS PAC ID: 1759633233 Enrollment ID: I20200210001353 |
| Provider Name | Khoi M Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043746639 PECOS PAC ID: 6305274960 Enrollment ID: I20200312001561 |
| Provider Name | Sarah L An |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881213874 PECOS PAC ID: 5395176242 Enrollment ID: I20200511001187 |
| Provider Name | Arielle M Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043847130 PECOS PAC ID: 7719318120 Enrollment ID: I20200518002510 |
| Provider Name | Sakara Seng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114472446 PECOS PAC ID: 1052732369 Enrollment ID: I20200521002619 |
| Provider Name | Neda Rouhi Brojeni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225558919 PECOS PAC ID: 0648692319 Enrollment ID: I20200625001673 |
| Provider Name | Daniel Chiou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427402403 PECOS PAC ID: 2567885635 Enrollment ID: I20200708000681 |
| Provider Name | Sunetris Fluellen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164871513 PECOS PAC ID: 0143512624 Enrollment ID: I20200723001021 |
| Provider Name | Hardeep K Chohan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396272647 PECOS PAC ID: 7810311818 Enrollment ID: I20200723001714 |
| Provider Name | Joseph S Roofeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033572854 PECOS PAC ID: 8325339112 Enrollment ID: I20200727001553 |
| Provider Name | Eriko Masuda |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992123095 PECOS PAC ID: 5991076440 Enrollment ID: I20200731002588 |
| Provider Name | Jessica Siak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174059570 PECOS PAC ID: 2961829163 Enrollment ID: I20200902002556 |
| Provider Name | George K Hanna |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609212281 PECOS PAC ID: 1759655376 Enrollment ID: I20200923002283 |
| Provider Name | Bhavesh N Ramani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285054635 PECOS PAC ID: 3779859624 Enrollment ID: I20201106001609 |
| Provider Name | Michael Sidney Reich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710413885 PECOS PAC ID: 7810264280 Enrollment ID: I20201109001170 |
| Provider Name | Sara M Kanamori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851755508 PECOS PAC ID: 0941618573 Enrollment ID: I20210421000696 |
| Provider Name | Arash Aghel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477729713 PECOS PAC ID: 5890915763 Enrollment ID: I20210423000925 |
| Provider Name | Cristina P Moldovan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346834512 PECOS PAC ID: 7214336890 Enrollment ID: I20210602000898 |
| Provider Name | Megan Jean Sue |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528421989 PECOS PAC ID: 2466862941 Enrollment ID: I20210616003736 |
| Provider Name | Alexander J Gertel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003270117 PECOS PAC ID: 4082908942 Enrollment ID: I20210618002160 |
| Provider Name | Lorena M Layrisse Landaeta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538589965 PECOS PAC ID: 0547662009 Enrollment ID: I20210707002015 |
| Provider Name | Angud S Mehdi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457885279 PECOS PAC ID: 6305248394 Enrollment ID: I20210713003848 |
| Provider Name | Henry J Kaing |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1487186433 PECOS PAC ID: 8820332992 Enrollment ID: I20210723001313 |
| Provider Name | Hazem G Abdelsalam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346793312 PECOS PAC ID: 9537573530 Enrollment ID: I20210802001988 |
| Provider Name | Nadia Jafar Curran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639564610 PECOS PAC ID: 9032515010 Enrollment ID: I20210831002835 |
| Provider Name | Nima M Moghadam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235621590 PECOS PAC ID: 7214334945 Enrollment ID: I20210923000998 |
| Provider Name | Betty P Lo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609143288 PECOS PAC ID: 6103126321 Enrollment ID: I20211022000677 |
| Provider Name | Mona Madani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891112223 PECOS PAC ID: 5991062960 Enrollment ID: I20211026000537 |
| Provider Name | Kevin Kapur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225492077 PECOS PAC ID: 2668705757 Enrollment ID: I20211105002696 |
| Provider Name | Yashaswini Yeragunta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528371259 PECOS PAC ID: 6800162819 Enrollment ID: I20211122002114 |
| Provider Name | Maliha F Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588154371 PECOS PAC ID: 8022400803 Enrollment ID: I20220128001240 |
| Provider Name | Ji-ah Ryu |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427726116 PECOS PAC ID: 0840684254 Enrollment ID: I20220301001978 |
| Provider Name | Jennifer S Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245679182 PECOS PAC ID: 6608163415 Enrollment ID: I20220309002472 |
| Provider Name | Ivy Rose Malit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750048708 PECOS PAC ID: 9436544228 Enrollment ID: I20220314001059 |
| Provider Name | Catherine J Gisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699272195 PECOS PAC ID: 1456739176 Enrollment ID: I20220608000497 |
| Provider Name | Savannah R Kimball |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134625866 PECOS PAC ID: 0749669562 Enrollment ID: I20220623003268 |
| Provider Name | Wilson C Kwan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972958775 PECOS PAC ID: 0345506713 Enrollment ID: I20220711001351 |
| Provider Name | Aviv Tarrab Herzlich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588040794 PECOS PAC ID: 0446597827 Enrollment ID: I20220915000861 |
| Provider Name | Meher F Raza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568995868 PECOS PAC ID: 5799030417 Enrollment ID: I20221010000156 |
| Provider Name | Won Seok Shin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477015949 PECOS PAC ID: 7517334576 Enrollment ID: I20221103001123 |
| Provider Name | Karthik R Kode |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689930497 PECOS PAC ID: 5294977377 Enrollment ID: I20221128001990 |
| Provider Name | Elizabeth M Banach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245950542 PECOS PAC ID: 9234594656 Enrollment ID: I20230508000986 |
| Provider Name | Cho Rok Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437787009 PECOS PAC ID: 7517324049 Enrollment ID: I20230526002479 |
| Provider Name | Soubhi Bahna |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1497069751 PECOS PAC ID: 4183865629 Enrollment ID: I20230605002509 |
| Provider Name | Jie Pan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609369990 PECOS PAC ID: 8820348998 Enrollment ID: I20230623000101 |
| Provider Name | Audrey Shipei Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790247534 PECOS PAC ID: 8022433945 Enrollment ID: I20230718004229 |
| Provider Name | Justin Ko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689203416 PECOS PAC ID: 7214398056 Enrollment ID: I20230726003392 |
| Provider Name | Mahsa Madani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245791243 PECOS PAC ID: 6709230048 Enrollment ID: I20230920003658 |
| Provider Name | Krixie V Silangcruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841857919 PECOS PAC ID: 9234583576 Enrollment ID: I20230920003716 |
| Provider Name | Ronald R Siregar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972124865 PECOS PAC ID: 3375990104 Enrollment ID: I20231115002434 |
| Provider Name | Zachary A Abelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689237414 PECOS PAC ID: 4385092089 Enrollment ID: I20231117002743 |
| Provider Name | Erica L Flores |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356802250 PECOS PAC ID: 5799139986 Enrollment ID: I20231208000310 |
| Provider Name | Isaac D Jenabi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1649698218 PECOS PAC ID: 6709111081 Enrollment ID: I20240103003991 |
| Provider Name | Ingrid N Jacob-hicks |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700270766 PECOS PAC ID: 4789045683 Enrollment ID: I20240216003313 |
Southbay Endocrine Medical Associates Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20911 Earl St, Suite 340, Torrance, CA 90503 Phone: 310-802-7002 Fax: 310-542-4695 | |
Delamo Family Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3475 Torrance Blvd Ste G, Torrance, CA 90503 Phone: 310-543-1695 Fax: 310-792-2321 | |
Dunja Maglica Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23441 Madison St Ste 305, Torrance, CA 90505 Phone: 310-378-5115 Fax: 310-378-9779 | |
Torrance Memorial Physician Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Lomita Blvd, Torrance, CA 90505 Phone: 310-784-3740 Fax: 310-539-1006 | |
David H. Stern, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1218 Crenshaw Blvd, Torrance, CA 90501 Phone: 310-328-1181 Fax: 310-328-1747 | |
Medical Associates Of Little Company Of Mary Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21311 Madrona Ave, 100a, Torrance, CA 90503 Phone: 310-792-4400 Fax: 310-542-5805 | |
Bliss Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23451 Madison St, Suite 250, Torrance, CA 90505 Phone: 310-791-0083 Fax: 310-791-0085 |