Provider Demographics
NPI:1275601239
Name:I. RACHMAN, MD, M. BARATS, MD, Y. SKARLAT, PA
Entity Type:Organization
Organization Name:I. RACHMAN, MD, M. BARATS, MD, Y. SKARLAT, PA
Other - Org Name:BRS COMPREHENSIVE MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ILYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RACHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-938-0071
Mailing Address - Street 1:5901 W OLYMPIC BLVD
Mailing Address - Street 2:STE 107
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-4667
Mailing Address - Country:US
Mailing Address - Phone:323-938-0071
Mailing Address - Fax:323-938-2369
Practice Address - Street 1:5901 W OLYMPIC BLVD
Practice Address - Street 2:STE 107
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-4667
Practice Address - Country:US
Practice Address - Phone:323-938-0071
Practice Address - Fax:323-938-2369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW18704Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER