Kenneth W Landis (NPI# 1861463077, PAC ID# 5799707493) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1861463077 |
| PAC ID by PECOS | 5799707493 |
| Professional Enrollment ID | I20051221001094 |
| Full Name | Kenneth W Landis |
| Address |
4477 W 118th St Suite 401 Hawthorne CA 90250-2269 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PULMONARY DISEASE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050740 | MARINA DEL REY HOSPITAL |
| 050739 | CENTINELA HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4477 W 118th St, Suite 401, Hawthorne, CA 90250-2269 |
| Street Address |
4477 W 118TH ST SUITE 401 |
| City | HAWTHORNE |
| State | CA |
| Zip | 90250-2269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah J Mogel | Nurse Practitioner | Ashok Kumar M.d. Inc | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2257 |
| Hayward Lynn Eubanks | Otolaryngology | 4477 W 118th St, Suite 205, Hawthorne, CA 90250-2257 | |
| Malay R Das | Nephrology | 4477 W 118th St, Suite 409, Hawthorne, CA 90250-2259 | |
| Nona P Santos | Nurse Practitioner | Ashok Kumar M.d. Inc | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2257 |
| Fayegh Vakili | Orthopedic Surgery | 4477 W 118th St, Suite 503, Hawthorne, CA 90250-2260 | |
| Rama Chandran | Orthopedic Surgery | Rama E Chandran Md Inc | 4477 W 118th St, Suite 402, Hawthorne, CA 90250-2259 |
| Pooja Kumar | Internal Medicine | Ashok Kumar M.d. Inc | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2257 |
| Mehmet C Demirozu | Internal Medicine | Mehmet C Demirozu M D Inc | 4477 W 118th St, Suite 303, Hawthorne, CA 90250-2258 |
| Robert Paoletti | Podiatry | 4477 W 118th St, Suite 105, Hawthorne, CA 90250-2256 | |
| Ashok Kumar | Internal Medicine | Ashok Kumar M.d. Inc | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2257 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farshad J Nosratian | Cardiovascular Disease (cardiology) | 11726 Grevillea Ave, Hawthorne, CA 90250-2223 | |
| Loreta Mulokas | Psychiatry | 4477 W 118th St, Hawthorne, CA 90250-2255 | |
| Arnold L Levee | Otolaryngology | 4477 W 118th St, Hawthorne, CA 90250-2256 | |
| Victor F Jimenez | Physician Assistant | Mehmet C Demirozu M D Inc | 4477 W 118th St, Suite 303, Hawthorne, CA 90250-2258 |
| Thomas G Willett | Psychiatry | 4477 W 118th St, Suite 400, Hawthorne, CA 90250-2259 | |
| Dainius V Mulokas | Psychiatry | 4477 W 118th St, Suite 400a, Hawthorne, CA 90250-2259 | |
| Augustine E Iluore | Internal Medicine | 11633 Hawthorne Blvd, Suite 103, Hawthorne, CA 90250-2323 | |
| Sarah Sam Olelewe | Geriatric Medicine | 11712 Hawthorne Blvd, Hawthorne, CA 90250-2324 | |
| Shazia M Hasan | Cardiovascular Disease (cardiology) | Providence Medical Institute | 11633 Hawthorne Blvd, Suite 400, Hawthorne, CA 90250-2370 |
| Reza Danesh | Family Medicine | 11950 Inglewood Ave, Hawthorne, CA 90250-2733 | |
| Find all physicians in zip 90250 | |||
| City | HAWTHORNE |
| Zip Code | 90250 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HAWTHORNE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kenneth W Landis.
| 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.