Mr Brian John Dungao Malicdem, is a
Social Worker based in Fremont, California. Mr Brian John Dungao Malicdem is licensed to practice in * (Not Available) (license number ) and his current practice location is
3607 Main St, Suite A, Fremont, California. He can be reached at his office (for appointments etc.) via phone at
(510) 226-6180.
NPI number for Mr Brian John Dungao Malicdem is 1336394519 and his current mailing address is 1024 Summerdale Dr, San Jose, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336394519.
Healthcare Provider's Profile
| Full Name | Mr Brian John Dungao Malicdem |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 3607 Main St, Fremont, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336394519
- Provider Enumeration Date: 12/01/2008
- Last Update Date: 09/08/2016
Medical Identifiers
Medical identifiers for Mr Brian John Dungao Malicdem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336394519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | 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. Mr Brian John Dungao Malicdem is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Brian John Dungao Malicdem,
1024 Summerdale Dr,
San Jose, CA 95132-2932
Ph: (408) 921-7004 | Mr Brian John Dungao Malicdem,
3607 Main St, Suite A,
Fremont, CA 94538-4390
Ph: (510) 226-6180 |
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