MEDICARE: IOANA POPESCU 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
1	207R00000X	Internal Medicine Physician	C54523	CA
2	207R00000X	Internal Medicine Physician	32551	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	35232	OTHER	IA	WELLMARK BCBS

General Provider Information

NPI Number	:	1821086778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IOANA POPESCU MD

Provider Business Mailing Address
First Line	:	5767 W CENTURY BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5631
Country	:	US
Telephone Number	:	310-301-8771
Fax Number	:	310-301-8751

Provider Business Practice Location Address
First Line	:	200 UCLA MEDICAL PLZ STE 420
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-1009
Country	:	US
Telephone Number	:	310-206-6232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	11/09/2020

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Directions to “ IOANA POPESCU MD” Practice Location

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