Yelena Badalova (NPI# 1750687497, PAC ID# 5496931800) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1750687497 |
| PAC ID by PECOS | 5496931800 |
| Professional Enrollment ID | I20110519000702 |
| Full Name | Yelena Badalova |
| Address |
12340 Santa Monica Blvd Suite 233 Los Angeles CA 90025-2594 |
| Phone Number | 3109549671 |
| Gender | F |
| Graduation Year | 1984 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050290 | PROVIDENCE SAINT JOHN'S HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12340 Santa Monica Blvd, Suite 233, Los Angeles, CA 90025-2594 | 3109549671 | |
| 2222 Santa Monica Blvd, Suite 205, Santa Monica, CA 90404-2306 | 3104491007 |
| Street Address |
12340 SANTA MONICA BLVD SUITE 233 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90025-2594 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack Li | Chiropractic | 12340 Santa Monica Blvd, Suite 129, Los Angeles, CA 90025-2584 | |
| Mehran Tofighrad | Podiatry | 12340 Santa Monica Blvd, Suite 221, Los Angeles, CA 90025-2594 | |
| Deborah Galligani | Clinical Social Worker | 12340 Santa Monica Blvd, Suite 307, Los Angeles, CA 90025-0348 | |
| Bijan Nikakhtar | Nephrology | 12340 Santa Monica Blvd, West Los Angeles, CA 90025-0405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathy H.k. Langevin | Dermatology | Joshua M Wieder Md Inc | 12301 Wilshire Blvd, Suite 201, Los Angeles, CA 90025-1000 |
| Joshua M Wieder | Dermatology | Joshua M Wieder Md Inc | 12301 Wilshire Blvd, Suite 201, Los Angeles, CA 90025-1000 |
| Gloria Elizabeth Mucino | Clinical Social Worker | 12301 Wilshire Blvd, Suite 210, Los Angeles, CA 90025-1000 | |
| Anne V Mcarthur | Physical Therapy | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 | |
| Joan I Essenmacher | Physical Therapy | Peak Performance Consulting Inc | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 |
| Pallavi Jakatdar | Physical Therapy | Peak Performance Consulting Inc | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 |
| Robert Kilroy | Chiropractic | 12401 Wilshire Blvd, Suite 104, Los Angeles, CA 90025-1015 | |
| Shannon Collins | Physical Therapy | Peak Performance Consulting Inc | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 |
| Linda Shepherd | Psychologist, Clinical | Mellow Medical Inc A Professional Corporation | 12301 Wilshire Blvd, Suite 512, Los Angeles, CA 90025-1021 |
| Alaleh K Selkirk | Psychologist, Clinical | Mellow Medical Inc A Professional Corporation | 12301 Wilshire Blvd, Suite 512, Los Angeles, CA 90025-1021 |
| Find all physicians in zip 90025 | |||
| City | LOS ANGELES |
| Zip Code | 90025 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | LOS ANGELES + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Yelena Badalova.
| 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.