Physician Compare National (NPI:1245244664)

HEALTHCARE PROVIDER: JAMES STEVEN ECONOMOU MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1245244664
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608053467
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110602000592
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ECONOMOU
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	SURGICAL ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	10833 LE CONTE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	RM 54140
	Group Practice or individual's line 2 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900953075
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050262
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RONALD REAGAN U C L A MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050112
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y