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NPI Code Detail

MEDICARE: AMERICO A SIMONINI MD

MEDICARE:   AMERICO A SIMONINI  MD
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
1207RC0000XCardiovascular Disease PhysicianG37109CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639230766
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMERICO A SIMONINI MD
Provider Business Mailing Address
First Line : 640 S SAN VICENTE BLVD STE 498
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-4884
Country : US
Telephone Number : 310-425-0672
Fax Number : 310-659-1369
Provider Business Practice Location Address
First Line : 640 S SAN VICENTE BLVD STE 498
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-4884
Country : US
Telephone Number : 310-425-0672
Fax Number : 310-659-1369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 07/16/2021

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Directions to “ AMERICO A SIMONINI MD” Practice Location

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