Vinay Shamasundara | Los Angeles, CA • PECOS Search

Vinay Shamasundara

Internal Medicine

Allopathic & Osteopathic Physicians

4950 W Sunset Blvd, Los Angeles, CA 90027-5822

PECOS Enrollment

Based on the most recent information from CMS, provider Vinay Shamasundara does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1457795486
Provider Type
Individual
Full Name
Shamasundara, Vinay
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/21/2013
Last Updated
10/11/2016

Contact Information

Practice Location

4950 W Sunset Blvd, Los Angeles, CA 90027-5822

Unlisted Fax

Mailing Location

4950 W Sunset Blvd, Los Angeles, CA 90027-5822

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A136043 California