Unknown Individual – Medical Physician Assistant, NPI 1710129077
Medical Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
101, Beverly Boulevard, Montebello, Los Angeles County, California, 90640, United States
SUITE 100
MONTEBELLO, CA 906404300
Phone: (323) 728-0653
Fax: (323) 728-8369
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 90640)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Internal Medicine | CA | |
| Gastroenterology, Internal Medicine | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Internal Medicine, Interventional Cardiology | CA | |
| Internal Medicine | CA | |
| Internal Medicine | CA | |
| Internal Medicine | NJ | |
| Cardiovascular Disease (Cardiology), Hospitalist, Internal Medicine, Internal Medicine | CA | |
| Internal Medicine | CA | |
| Internal Medicine | CA |
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