Look up the most recent NPI and PECOS records

John Gordon Harold

Internal Medicine

Allopathic & Osteopathic Physicians

8635 W 3rd Street, Suite 750w, Los Angeles, CA 90048-6108

(310) 659-2030

PECOS Enrollment

This provider is enrolled in PECOS as JOHN HAROLD.

Based on the most recent information from CMS, provider John Gordon Harold is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1508927005
Provider Type
Individual
Full Name
Harold, John Gordon
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
12/12/2006
Last Updated
6/27/2014

Contact Information

Practice Location

8635 W 3rd Street, Suite 750w, Los Angeles, CA 90048-6108

(310) 659-2030

(310) 659-1369

Mailing Location

8635 W 3rd Street, Suite 750w, Los Angeles, CA 90048-6018

(310) 659-2030

(310) 659-1369

Provider Taxonomies

Code	Description	License
Code 207RC0000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License G046536 California

Provider Identifiers

ID	Description	Issuer
ID 6183617	Description Medicaid	Issuer Unlisted California

John Gordon Harold

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Shiota, Takahiro

Josan, Kiranbir

Zaya, Melody

Milstein, Anna

Charuzi, Yzhar

Gold, Richard N

Pacheco Claudio, Christine

Jay N Schapira M D Inc A Professional Corporation

Kauffman, Jane Yana

Singh, Siddharth