David Koroshec (NPI# 1104912336, PAC ID# 8123915089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADDICTION MEDICINE.
| Nation Provider ID (NPI) | 1104912336 |
| PAC ID by PECOS | 8123915089 |
| Professional Enrollment ID | I20040303001354 |
| Full Name | David Koroshec |
| Organization Legal Name | BAART COMMUNITY HEALTHCARE |
| Address |
4920 Avalon Blvd Los Angeles CA 90011-4004 |
| Phone Number | 3232355035 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1977 |
| Primary Specialty | ADDICTION MEDICINE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 5799672515 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1926 Beverly Blvd, Los Angeles, CA 90057-2402 | 2133531140 | BAART COMMUNITY HEALTHCARE |
| 4920 Avalon Blvd, Los Angeles, CA 90011-4004 | 3232355035 | BAART COMMUNITY HEALTHCARE |
| Organization Legal Name | BAART COMMUNITY HEALTHCARE |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Robert Clear | General Practice | Baart Community Healthcare | 433 Turk St, San Francisco, CA 94102-3329 |
| Thomas R Farnham | Family Practice | Baart Community Healthcare | 1701 Zonal Ave, Los Angeles, CA 90033-1065 |
| Kyle A Moore | General Practice | Baart Community Healthcare | 3707 Sunset Ln, Antioch, CA 94509-6101 |
| Laurene Spencer | Internal Medicine | Baart Community Healthcare | 1235 E St, Fresno, CA 93706-2024 |
| Farhad S Mahjouri | Neurosurgery | Baart Community Healthcare | 1235 E St, Fresno, CA 93706-2024 |
| Street Address |
4920 AVALON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip | 90011-4004 |
| 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 |
| Tamara Tucker | Clinical Social Worker | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | |
| 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 |
| City | LOS ANGELES |
| Zip Code | 90011 |
| Specialty | ADDICTION MEDICINE |
| City + Specialty | LOS ANGELES + ADDICTION MEDICINE |
Please comment or provide details below to improve the information on David Koroshec.
| 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.