Tamara Tucker (NPI# 1043512130, PAC ID# 6709183882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1043512130 |
PAC ID by PECOS | 6709183882 |
Professional Enrollment ID | I20160405001558 |
Full Name | Tamara Tucker |
Address |
4211 Avalon Blvd Los Angeles CA 90011-5622 |
Gender | F |
Graduation Year | 2012 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
4211 Avalon Blvd, Los Angeles, CA 90011-5622 |
Street Address |
4211 AVALON BLVD |
City | LOS ANGELES |
State | CA |
Zip | 90011-5622 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sharon Clay-keith | Nurse Practitioner | Kedren Community Health Center Inc | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 |
Emad Aziz | Psychiatry | Kedren Community Health Center Inc | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 |
Name | Specialty | Organization | Address |
---|---|---|---|
Malihe Dardashti | Family Medicine | 2530 S Pedro St, San Pedro Adams Medical Center, Los Angeles, CA 90011 | |
Steven S Ghalili | Family Medicine | 648 E 21st St, Los Angeles, CA 90011-1146 | |
Saman Ghalili | Emergency Medicine | 648 E 21st St, Los Angeles, CA 90011-1146 | |
Bijan Motamedi | Family Medicine | 2121 S San Pedro St Unit E, Los Angeles, CA 90011-1160 | |
Patrick B Lawrence | Obstetrics/gynecology | Clinica Del Socorro Medical Group,inc. | 1061 E Vernon Ave, Suite F, Los Angeles, CA 90011-3772 |
Gaston C Herrera | General Practice | Clinica Del Socorro Medical Group,inc. | 1061 E Vernon Ave, Suite F, Los Angeles, CA 90011-3772 |
David Koroshec | Addiction Medicine | Baart Community Healthcare | 4920 Avalon Blvd, Los Angeles, CA 90011-4004 |
City | LOS ANGELES |
Zip Code | 90011 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | LOS ANGELES + CLINICAL SOCIAL WORKER |
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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.