| Westside Internal Medicine | |
|
2121 Wilshire Blvd # 304 Santa Monica CA 90403 | |
| (310) 264-0065 | |
| (310) 829-0765 |
| Full Name | Westside Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2121 Wilshire Blvd, Santa Monica, California |
| Authorized Official Name and Position | Mark Howard Biscow (PARTNER) |
| Authorized Official Contact | 3102640065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Internal Medicine 2121 Wilshire Blvd # 304 Santa Monica CA 90403 Ph: (310) 264-0065 | Westside Internal Medicine 2121 Wilshire Blvd # 304 Santa Monica CA 90403 Ph: (310) 264-0065 |
| NPI Number | 1184631251 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 01/26/2010 |
| Medicare PECOS PAC ID | 1850353525 |
|---|---|
| Medicare Enrollment ID | O20041103001290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184631251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jonathan D Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851318331 PECOS PAC ID: 7315929858 Enrollment ID: I20040607001064 |
| Provider Name | Joel S Isackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285640680 PECOS PAC ID: 1951363621 Enrollment ID: I20041103001265 |
| Provider Name | John Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447262126 PECOS PAC ID: 8123115482 Enrollment ID: I20071102000270 |
| Provider Name | Mark H Biscow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871510354 PECOS PAC ID: 0749231603 Enrollment ID: I20100524000517 |
| Provider Name | Ernest L Prudente |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033136510 PECOS PAC ID: 1153459466 Enrollment ID: I20100524000714 |
| Provider Name | Jamie A Elson-wolin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003109752 PECOS PAC ID: 5395976393 Enrollment ID: I20140314000836 |
| Provider Name | Teresa M Dean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255538781 PECOS PAC ID: 6103087200 Enrollment ID: I20141115000211 |
| Provider Name | Arin Szuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801305057 PECOS PAC ID: 5193155968 Enrollment ID: I20231016000378 |
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Jimmy C. Huang, D.o. A Professional Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2210 Santa Monica Blvd., Suite C, Santa Monica, CA 90404 Phone: 310-828-1708 Fax: 310-828-1705 | |
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