Alfred A Derakhshesh, DC in Los Angeles, CA - Medicare Chiropractor Provider

Alfred A Derakhshesh, DC is a medicare enrolled "Chiropractor" provider in Los Angeles, California. His current practice location is 1016 S Robertson Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 652-9283.

Alfred A Derakhshesh is licensed to practice in California (license number DC24112) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336183110.

Contact Information

	Alfred A Derakhshesh, DC
	1016 S Robertson Blvd, Los Angeles, CA 90035-1505
	(310) 652-9283
	(310) 652-9292

Map and Direction

Healthcare Provider's Profile

Full Name	Alfred A Derakhshesh
Gender	Male
Speciality	Chiropractor
Location	1016 S Robertson Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336183110
Provider Enumeration Date: 06/15/2006
Last Update Date: 09/17/2007

Medicare PECOS Information:

PECOS PAC ID: 6204013626
Enrollment ID: I20110610000350

Medical Identifiers

Medical identifiers for Alfred A Derakhshesh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336183110	NPI	-	NPPES
GDC000280	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	DC24112 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alfred A Derakhshesh is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alfred A Derakhshesh, DC 1470 Rexford Dr, #207, Los Angeles, CA 90035-3145 Ph: (310) 722-0800	Alfred A Derakhshesh, DC 1016 S Robertson Blvd, Los Angeles, CA 90035-1505 Ph: (310) 652-9283

Reviews and Comments

Chiropractor in Los Angeles, CA

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Alfred A Derakhshesh, DC - Medicare Chiropractor in Los Angeles, CA