Larry R Tom (NPI# 1043382278, PAC ID# 5890871222) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1043382278 |
| PAC ID by PECOS | 5890871222 |
| Professional Enrollment ID | I20080326000466 |
| Full Name | Larry R Tom |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Address |
25821 Vermont Ave Harbor City CA 90710-3518 |
| Phone Number | 3103255111 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 6002729175 |
| Number of Group Practice Members | 7666 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050411 | KAISER FOUNDATION HOSPITAL - SOUTH BAY |
| Address | Phone | Organization |
|---|---|---|
| 25821 Vermont Ave, Harbor City, CA 90710-3518 | 3103255111 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| 25825 Vermont Ave, Harbor City, CA 90710-3518 | 3103255111 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Physicians | 10172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chengjie Zheng | Ophthalmology | Southern California Permanente Medical Group | 9449 Imperial Hwy, Downey, CA 90242-2814 |
| Dong Joo Kim | Dermatology | Southern California Permanente Medical Group | 3401 S Harbor Blvd, Santa Ana, CA 92704-7933 |
| Terese S Bergheim | Dermatology | Southern California Permanente Medical Group | 12100 Euclid St, Garden Grove, CA 92840-3304 |
| Nabeel Rashid Hameed | Family Medicine | Southern California Permanente Medical Group | 4949 Market St, Ventura, CA 93003-7851 |
| Linda Marie Silver | Clinical Social Worker | Southern California Permanente Medical Group | 2081 Palos Verdes N Dr, Lomita, CA 90717-3701 |
| Erik James Ryo Murata | Physical Therapy | Southern California Permanente Medical Group | 411 N Lakeview Ave, Anaheim, CA 92807-3028 |
| Natasha D Irving | Obstetrics/gynecology | Southern California Permanente Medical Group | 1200 Discovery Dr, Bakersfield, CA 93309-7032 |
| May Sanguanlosit | Optometry | Southern California Permanente Medical Group | 27201 Tourney Rd, Santa Clarita, CA 91355-1854 |
| Neepa Shah | Ophthalmology | Southern California Permanente Medical Group | 75036 Gerald Ford Dr, Palm Desert, CA 92211-2080 |
| Gabrielle E Brown | Dermatology | Southern California Permanente Medical Group | 18600 S Figueroa St, Gardena, CA 90248-4505 |
| Street Address |
25821 VERMONT AVE |
| City | HARBOR CITY |
| State | CA |
| Zip | 90710-3518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryokei K Imai | Internal Medicine | Southern California Permanente Medical Group | 25821 Vermont Ave, Harbor City, CA 90710-3518 |
| Christopher Lolachi | Otolaryngology | Southern California Permanente Medical Group | 25821 Vermont Ave, Harbor City, CA 90710-3518 |
| Charles Bui | Internal Medicine | Southern California Permanente Medical Group | 25821 Vermont Ave, Harbor City, CA 90710-3518 |
| Eric Sandoval | Internal Medicine | Southern California Permanente Medical Group | 25821 Vermont Ave, Harbor City, CA 90710-3518 |
| Brian N Wardwell | Psychiatry | Southern California Permanente Medical Group | 25821 Vermont Ave, Harbor City, CA 90710-3518 |
| Justin C Chang | Internal Medicine | Southern California Permanente Medical Group | 25821 Vermont Ave, Harbor City, CA 90710-3518 |
| Loreto Albaran | Certified Registered Nurse Anesthetist (crna) | Southern California Permanente Medical Group | 25821 Vermont Ave, Harbor City, CA 90710-3518 |
| Vanessa Gavin-headen | Family Medicine | Southern California Permanente Medical Group | 25821 Vermont Ave, Harbor City, CA 90710-3518 |
| Tae K Song | Vascular Surgery | Southern California Permanente Medical Group | 25821 Vermont Ave, Harbor City, CA 90710-3518 |
| Mark Adam Nitake | Physical Therapy | Southern California Permanente Medical Group | 25821 Vermont Ave, Harbor City, CA 90710-3518 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edgardo A Osea | Internal Medicine | 1310 W Sepulveda Blvd, Harbor City, CA 90710-1156 | |
| Ulyss J Chow | Family Medicine | 1403 Lomita Blvd, Suite 304, Harbor City, CA 90710-2085 | |
| Jennifer W Lam | Internal Medicine | Southern California Permanente Medical Group | 25975 Normandie Ave, Harbor City, CA 90710-3416 |
| Pushkar Chand | Hospice/palliative Care | Southern California Permanente Medical Group | 25975 Normandie Ave, Harbor City, CA 90710-3416 |
| Christine Dao | Family Medicine | Southern California Permanente Medical Group | 25975 Normandie Ave, Harbor City, CA 90710-3416 |
| Cheryl Jane C Sapida | Physician Assistant | Southern California Permanente Medical Group | 25975 Normandie Ave, Harbor City, CA 90710-3416 |
| Theodore Youn | Family Medicine | Southern California Permanente Medical Group | 25975 Normandie Ave, Harbor City, CA 90710-3416 |
| Parker Greene | Physician Assistant | Southern California Permanente Medical Group | 25975 Normandie Ave, Harbor City, CA 90710-3416 |
| Tony Hsu | Family Medicine | Southern California Permanente Medical Group | 25975 Normandie Ave, Harbor City, CA 90710-3416 |
| Amir S Khoiny | Neurology | Southern California Permanente Medical Group | 25975 Normandie Ave, Harbor City, CA 90710-3416 |
| Find all physicians in zip 90710 | |||
| City | HARBOR CITY |
| Zip Code | 90710 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | HARBOR CITY + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Larry R Tom.
| 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.