Raul R Mena (NPI# 1609892256, PAC ID# 3971574427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1609892256 |
| PAC ID by PECOS | 3971574427 |
| Professional Enrollment ID | I20040805001414 |
| Full Name | Raul R Mena |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Address |
181 S Buena Vista St Fl 4 Burbank CA 91505-4504 |
| Phone Number | 8188400921 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 5991609737 |
| Number of Group Practice Members | 250 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050235 | PROVIDENCE SAINT JOSEPH MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 181 S Buena Vista St, Fl 4, Burbank, CA 91505-4504 | 8188400921 | PROVIDENCE MEDICAL INSTITUTE |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Garner | Nurse Practitioner | Providence Medical Institute | 24035 Newhall Ranch Rd, Santa Clarita, CA 91355-5702 |
| Jennifer S Lee | Nurse Practitioner | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Danielle N Anderson | Obstetrics/gynecology | Providence Medical Institute | 2601 W Alameda Avenue, Suite 212, Burbank, CA 91505-4800 |
| Julie A Gould | Obstetrics/gynecology | Providence Medical Institute | 405 N Maclay Ave, Suite 104, San Fernando, CA 91340-2455 |
| Reza Askari | Obstetrics/gynecology | Providence Medical Institute | 621 S Butte St, San Pedro, CA 90732-3510 |
| Brenda Shen | Family Medicine | Providence Medical Institute | 2382 Crenshaw Blvd, Suite 5, Torrance, CA 90501-3333 |
| Raj U Dugel | Ophthalmology | Providence Medical Institute | 4825 Torrance Blvd, Suite 100, Torrance, CA 90503-4167 |
| Jeffrey Work | Interventional Cardiology | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Peter J Georgio Ii | Family Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Michael M Marvi | Neurology | Providence Medical Institute | 1870 Veteran Ave, Apt 102, Los Angeles, CA 90025-4569 |
| Street Address |
181 S BUENA VISTA ST FL 4 |
| City | BURBANK |
| State | CA |
| Zip | 91505-4504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan E Downey | Plastic and Reconstructive Surgery | 181 S Buena Vista St, Fl 3, Burbank, CA 91505-4504 | |
| Nancy A Ellerbroek | Radiation Oncology | Valley Radiotherapy Associates Medical Group Inc | 181 S Buena Vista St, Burbank, CA 91505-4504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Kwan Dea | Pulmonary Disease | 2701 W Alamed, Suite 601, Burbank, CA 91505 | |
| Tu H Duong | Internal Medicine | Roberto A. Beaton, M.d., Inc. | 4314 W Victory Blvd, Burbank, CA 91505-1334 |
| Alina C Beaton | Internal Medicine | Roberto A. Beaton, M.d., Inc. | 4314 W Victory Blvd, Burbank, CA 91505-1334 |
| Roberto A Beaton | Internal Medicine | Roberto A. Beaton, M.d., Inc. | 4314 W Victory Blvd, Burbank, CA 91505-1334 |
| Yeong An Sheu | Gastroenterology | 4314 W Victory Blvd, Burbank, CA 91505-1334 | |
| Irvin S Benowitz | General Practice | Roberto A. Beaton, M.d., Inc. | 4314 W Victory Blvd, Burbank, CA 91505-1334 |
| Alen Khachatourian | Chiropractic | 3404 W Victory Blvd, Burbank, CA 91505-1544 | |
| Amanda Corona | Physical Therapy | Vargo Physical Therapy, Inc. | 3425 W Victory Blvd, Burbank, CA 91505-1545 |
| Erin Nicole Dougherty | Physical Therapy | Vargo Physical Therapy, Inc. | 3425 W Victory Blvd, Burbank, CA 91505-1545 |
| Katherine Joan Chin | Physician Assistant | Burbank Occupational Health Center Inc | 3413 W Pacific Ave, Suite 102, Burbank, CA 91505-1555 |
| Find all physicians in zip 91505 | |||
| City | BURBANK |
| Zip Code | 91505 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | BURBANK + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Raul R Mena.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.