Gustavo Calleros (NPI# 1346358827, PAC ID# 7618942731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1346358827 |
| PAC ID by PECOS | 7618942731 |
| Professional Enrollment ID | I20040831001396 |
| Full Name | Gustavo Calleros |
| Organization Legal Name | MODERN CONCEPTS MEDICAL GROUP INC |
| Address |
1701 E Cesar E Chavez Ave Suite 354 Los Angeles CA 90033-2496 |
| Phone Number | 3232215366 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6901793041 |
| 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 |
|---|---|---|
| 1701 E Cesar E Chavez Ave, Suite 354, Los Angeles, CA 90033-2496 | 3232215366 | MODERN CONCEPTS MEDICAL GROUP INC |
| 1217 W Whittier Blvd, Montebello, CA 90640-4642 | 3237286070 | MODERN CONCEPTS MEDICAL GROUP INC |
| 50 Bellefontaine St, Suite 404, Pasadena, CA 91105-3132 | 6267931931 | MODERN CONCEPTS MEDICAL GROUP INC |
| Organization Legal Name | MODERN CONCEPTS MEDICAL GROUP INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodolfo A Arevalo | Family Medicine | Modern Concepts Medical Group Inc | 1701 E Cesar E Chavez Ave, Suite 354, Los Angeles, CA 90033-2496 |
| Margaret Lorena Herrera | Family Medicine | Modern Concepts Medical Group Inc | 1701 E Cesar E Chavez Ave, Suite 354, Los Angeles, CA 90033-2496 |
| Street Address |
1701 E CESAR E CHAVEZ AVE SUITE 354 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90033-2496 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sergio B Villegas | Family Medicine | Fcs Medical Corporation | 1701 E Cesar E Chavez Ave, Los Angeles, CA 90033-2496 |
| Gilberto Medina | Family Medicine | Fcs Medical Corporation | 1701 E Cesar E Chavez Ave, Suite 230, Los Angeles, CA 90033-2496 |
| Andrew S Chan | Family Medicine | Fcs Medical Corporation | 1701 E Cesar E Chavez Ave, Suite 230, Los Angeles, CA 90033-2496 |
| Cinna Wohlmuth | Obstetrics/gynecology | White Memorial Gynecological and Obstetrical Medical Group | 1701 E Cesar E Chavez Ave, Suite 200/225, Los Angeles, CA 90033-2464 |
| Hector Flores | Family Medicine | Fcs Medical Corporation | 1701 E Cesar E Chavez Ave, Suite 230, Los Angeles, CA 90033-2496 |
| David Sulam | Family Medicine | Fcs Medical Corporation | 1701 E Cesar E Chavez Ave, Suite 230, Los Angeles, CA 90033-2496 |
| Christopher M Hiromura | Family Medicine | Fcs Medical Corporation | 1701 E Cesar E Chavez Ave, Suite 230, Los Angeles, CA 90033-2496 |
| Morodak Meas | Family Medicine | Fcs Medical Corporation | 1701 E Cesar E Chavez Ave, Suite 402, Los Angeles, CA 90033-2496 |
| Martha R Preciado | Cardiovascular Disease (cardiology) | 1701 E Cesar E Chavez Ave, 355 Preciado Cardiology Inc, Los Angeles, CA 90033-2464 | |
| Jorge Martinez | Family Medicine | Fcs Medical Corporation | 1701 E Cesar E Chavez Ave, Suite 230, Los Angeles, CA 90033-2496 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Leung | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Faisal A Khan | General Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Arpita Amin Devani | Internal Medicine | 1720 E Cesar Chavez Ave, Los Angeles, CA 90033 | |
| Azmy F Ghaly | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Marian A Fedak | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Matthew S C Tan | General Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Ramsay Nucho | Thoracic Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Ahmad Jabaiah | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Francisco Quijas | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Rene N Kohlieber | Family Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Find all physicians in zip 90033 | |||
| City | LOS ANGELES |
| Zip Code | 90033 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LOS ANGELES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gustavo Calleros.
| 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.