Lisa H Ma (NPI# 1639125487, PAC ID# 4385715739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639125487 |
| PAC ID by PECOS | 4385715739 |
| Professional Enrollment ID | I20100329000705 |
| Full Name | Lisa H Ma |
| Organization Legal Name | MOSAIC FAMILY CARE MEDICAL GROUP INC |
| Address |
4857 Huntington Dr N Los Angeles CA 90032-1939 |
| Phone Number | 3232269042 |
| Gender | F |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3375622376 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050103 | WHITE MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4857 Huntington Dr N, Los Angeles, CA 90032-1939 | 3232269042 | MOSAIC FAMILY CARE MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 33% |
| Organization Legal Name | MOSAIC FAMILY CARE MEDICAL GROUP INC |
| Physicians | 1 |
| Street Address |
4857 HUNTINGTON DR N |
| City | LOS ANGELES |
| State | CA |
| Zip | 90032-1939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| An Pang Chieng | Internal Medicine | 3301 N Eastern Ave, Los Angeles, CA 90032-1931 |
| City | LOS ANGELES |
| Zip Code | 90032 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LOS ANGELES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lisa H Ma.
| 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.