MEDICARE: CALIFORNIA GEN MEDICAL GROUP, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		CA

General Provider Information

NPI Number	:	1497101315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA GEN MEDICAL GROUP, INC

Provider Business Mailing Address
First Line	:	5455 WILSHIRE BLVD STE 1703
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-4217
Country	:	US
Telephone Number	:	213-514-5674
Fax Number	:	213-514-5684

Provider Business Practice Location Address
First Line	:	5455 WILSHIRE BLVD STE 1703
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-4217
Country	:	US
Telephone Number	:	213-514-5674
Fax Number	:	213-514-5684

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. HERSHEL TSIKMAN
Credential	:	OWNER
Telephone Number	:	213-514-5674

Provider Enumeration Date	:	05/10/2016
Last Update Date	:	05/10/2016

Similar Medicare Providers

1275687014 — MRS. ANNA KAGAN MD
Practice Location Address:

5455 WILSHIRE BLVD , SUITE 1714
LOS ANGELES, CA
90036-4217

Practice Phone: 323-936-7755
Practice Fax: 323-936-6644

1790839538 — MR. ARKADY BENJAMINE KAGAN MD
Practice Location Address:

5455 WILSHIRE BLVD , SUITE 1714
LOS ANGELES, CA
90036-4217

Practice Phone: 323-937-2269
Practice Fax: 323-936-6640

1003435967 — DR. JIEWEN LI DO
Practice Location Address:

125 1/2 S AVENUE 60
LOS ANGELES, CA
90042-4217

Practice Phone: 216-370-8300
Practice Fax:

1730619396 — MS. ESPERANZA ARCHE LCSW
Practice Location Address:

918 ONEONTA DR
LOS ANGELES, CA
90065-4217

Practice Phone: 323-256-4403
Practice Fax: 323-441-8391

1568098556 — DOV BERNARD LERMAN-SINKOFF MD PHD
Practice Location Address:

150 MEDICAL PLAZA RM 4217
LOS ANGELES, CA
90095-5055

Practice Phone: 310-825-9989
Practice Fax: 310-267-1908

1255084539 — DIANNA HOWE
Practice Location Address:

832 LAGUNA AVE
LOS ANGELES, CA
90026-4217

Practice Phone: 213-574-5552
Practice Fax:

Directions to “CALIFORNIA GEN MEDICAL GROUP, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.