Brian Mirazic (NPI# 1215099320, PAC ID# 1254636806) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1215099320 |
| PAC ID by PECOS | 1254636806 |
| Professional Enrollment ID | I20160219001623 |
| Full Name | Brian Mirazic |
| Organization Legal Name | ARDMORE MEDICAL GROUP INC |
| Address |
3518 W 8th St Los Angeles CA 90005-2902 |
| Phone Number | 2133849949 |
| Gender | M |
| Graduation Year | 1977 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 6901997634 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3518 W 8th St, Los Angeles, CA 90005-2902 | 2133849949 | ARDMORE MEDICAL GROUP INC |
| Organization Legal Name | ARDMORE MEDICAL GROUP INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Tran | Family Medicine | Ardmore Medical Group Inc | 2765 E Florence Ave, Huntington Park, CA 90255-5750 |
| Carlos Bulaon | Family Practice | Ardmore Medical Group Inc | 3500 E Whittier Blvd, Los Angeles, CA 90023-1746 |
| Luis Castillo | Family Medicine | Ardmore Medical Group Inc | 3564 Santa Anita Ave, Suite A, El Monte, CA 91731-2458 |
| Street Address |
3518 W 8TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip | 90005-2902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabrina Barscheski | Clinical Social Worker | Los Angeles County Department of Mental Health | 695 S Vermont Ave 8th Floor, Eob Crisis and Homeless Downtown, Los Angeles, CA 90005-1349 |
| Donna M Graves | Clinical Social Worker | Los Angeles County Department of Mental Health | 695 S Vermont Ave, Fl 9, Los Angeles, CA 90005-1349 |
| Sun J Shin | General Practice | 866 S Westmoreland Ave, Suite 101, Los Angeles, CA 90005-1502 | |
| Bruce W Chow | Family Practice | 817 S Vermont Ave, Los Angeles, CA 90005-1522 | |
| Thick G Chow | Family Practice | Chow Medical Clinic, Inc. | 817 S Vermont Ave, Los Angeles, CA 90005-1522 |
| Hun K Kang | Internal Medicine | 2900 W 8th St, Los Angeles, CA 90005-1524 | |
| Jae W Lee | General Practice | 815 S Ardmore Ave, Los Angeles, CA 90005-2597 | |
| Gary Emery | Psychologist, Clinical | 630 S Wilton Pl, Los Angeles, CA 90005-3219 | |
| Grace Y Choi | Chiropractic | 726 S Wilton Pl, Suite 2, Los Angeles, CA 90005-3516 | |
| Chi Min Lee | Chiropractic | 621 S Virgil Ave, Los Angeles, CA 90005-4021 | |
| Find all physicians in zip 90005 | |||
| City | LOS ANGELES |
| Zip Code | 90005 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | LOS ANGELES + GENERAL PRACTICE |
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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.