Todd D Mishima (NPI# 1841215365, PAC ID# 6002092533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1841215365 |
| PAC ID by PECOS | 6002092533 |
| Professional Enrollment ID | I20110518000683 |
| Full Name | Todd D Mishima |
| Organization Legal Name | DE LA PENA EYE CLINIC A MEDICAL GROUP INC |
| Address |
139 S Alvarado St Los Angeles CA 90057-2201 |
| Phone Number | 2134840170 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1991 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2961300116 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2715 E Florence Ave, Huntington Park, CA 90255-5746 | 3235810120 | DE LA PENA EYE CLINIC A MEDICAL GROUP INC |
| 139 S Alvarado St, Los Angeles, CA 90057-2201 | 2134840170 | DE LA PENA EYE CLINIC A MEDICAL GROUP INC |
| Organization Legal Name | DE LA PENA EYE CLINIC A MEDICAL GROUP INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Mandel | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 139 S Alvarado St, Los Angeles, CA 90057-2201 |
| Charles E Dominguez | Optometry | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| Melissa J Mayberry | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 2715 E Florence Ave, Huntington Park, CA 90255-5746 |
| George M Salib | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 1520 N Grand Ave, Santa Ana, CA 92701-2627 |
| Evelyn M Perez | Optometry | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| Alejandra Uchio | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| Hamideh S Moayedpardazi | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| William C Delapena | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| Meggie N Nguyen | Optometry | De La Pena Eye Clinic A Medical Group Inc | 139 S Alvarado St, Los Angeles, CA 90057-2201 |
| Susan K Ung | Optometry | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| Street Address |
139 S ALVARADO ST |
| City | LOS ANGELES |
| State | CA |
| Zip | 90057-2201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Mandel | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 139 S Alvarado St, Los Angeles, CA 90057-2201 |
| Meggie N Nguyen | Optometry | De La Pena Eye Clinic A Medical Group Inc | 139 S Alvarado St, Los Angeles, CA 90057-2201 |
| Lynn L Huang | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 139 S Alvarado St, Los Angeles, CA 90057-2201 |
| Thomas Joseph Ledesma-wiant | Optometry | De La Pena Eye Clinic, Amg, Inc.. | 139 S Alvarado St, Los Angeles, CA 90026-2201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margarita S Symonian Silver | Nephrology | St Vincent Medical Ctr, 2131 W 3rd Street, Los Angeles, CA 90057-0992 | |
| Juan Carlos Echeverria | Diagnostic Radiology | Radadvantage A Professional Corporation | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Shahram S Farahvash | Anesthesiology | St. Vincent Anesthesia Medical Group Inc | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Raymond D Gritton | Physical Medicine and Rehabilitation | 2131 W 3rd St, Los Angeles, CA 90057-1901 | |
| Ram K Sharma | Anesthesiology | Axiom Anesthesia Group Inc | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Carmela Yomtoubian | Emergency Medicine | Cep America - California | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Julio A Raya | Anesthesiology | Axiom Anesthesia Group Inc | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Andrew M Abdelmalek | Anesthesiology | Axiom Anesthesia Group Inc | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Ralph Cabrera | Certified Registered Nurse Anesthetist (crna) | St. Vincent Anesthesia Medical Group Inc | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Grace Lin | Nephrology | Gch Medical Group Inc | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Find all physicians in zip 90057 | |||
| City | LOS ANGELES |
| Zip Code | 90057 |
| Specialty | OPTOMETRY |
| City + Specialty | LOS ANGELES + OPTOMETRY |
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| 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.