MEDICARE: TIMUR R POGODIN M.D

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	208D00000X	General Practice Physician	A133706	CA

General Provider Information

NPI Number	:	1972994853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMUR R POGODIN M.D

Provider Business Mailing Address
First Line	:	10228 TABOR ST
Second Line	:	APT 8
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-4836
Country	:	US
Telephone Number	:	626-316-2275
Fax Number	:

Provider Business Practice Location Address
First Line	:	10228 TABOR ST
Second Line	:	APT 8
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-4836
Country	:	US
Telephone Number	:	626-316-2275
Fax Number	:

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

Provider Enumeration Date	:	02/12/2015
Last Update Date	:	02/12/2015

Similar Medicare Providers

1437296498 — EMMA JEAN DUNCAN
Practice Location Address:

11212 S HARVARD BLVD
LOS ANGELES, CA
90047-4836

Practice Phone: 323-420-2305
Practice Fax:

1194836841 — DANILO CRUZ MANAHAN DMD
Practice Location Address:

4836 HOLLYWOOD BLVD
LOS ANGELES, CA
90027

Practice Phone: 323-664-7796
Practice Fax: 323-662-9176

1285162834 — AV HOLDING, INC.
Practice Location Address:

4836 W WASHINGTON BLVD
LOS ANGELES, CA
90016-1519

Practice Phone: 323-937-4506
Practice Fax: 323-939-0183

1720931298 — JULIA TRIFAN
Practice Location Address:

5400 CARLTON WAY APT 202
LOS ANGELES, CA
90027-4836

Practice Phone: 561-303-7264
Practice Fax:

1568899482 — LA FRONTERA CENTER, INC. DBA LA FRONTERA NEW MEXICO, INC.
Practice Location Address:

2941 LOS AMIGOS CT
LAS CRUCES, NM
88011-4836

Practice Phone: 575-647-2800
Practice Fax:

1386036176 — ALYSON PARRA
Practice Location Address:

2941 LOS AMIGOS CT
LAS CRUCES, NM
88011-4836

Practice Phone: 575-647-2800
Practice Fax: 575-647-2898

Directions to “ TIMUR R POGODIN M.D” 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.