Dr Abdullah Ibish, MD | |
17360 Brookhurst St, Fountain Valley, CA 92708-3720 | |
(662) 772-4000 | |
(901) 227-3206 |
Full Name | Dr Abdullah Ibish |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 17360 Brookhurst St, Fountain Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154783397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | A168155 (California) | Primary |
2084N0400X | Psychiatry & Neurology - Neurology | 31762 (Mississippi) | Secondary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Entity Name | Saadah Alrajab Md Mph Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992127393 PECOS PAC ID: 2062642143 Enrollment ID: O20140312000397 |
Entity Name | Riiid Medical Group Irvine Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437770468 PECOS PAC ID: 4284046889 Enrollment ID: O20201223000428 |
Mailing Address | Practice Location Address |
---|---|
Dr Abdullah Ibish, MD 17360 Brookhurst St, Fountain Valley, CA 92708-3720 Ph: () - | Dr Abdullah Ibish, MD 17360 Brookhurst St, Fountain Valley, CA 92708-3720 Ph: (662) 772-4000 |
Kong Truong, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9940 Talbert Ave, Suite 204, Fountain Valley, CA 92708 Phone: 714-378-5635 | |
Dr. William Mac Young, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11770 Warner Ave, Suite 226, Fountain Valley, CA 92708 Phone: 714-241-8560 Fax: 714-241-8576 | |
Dr. Leonid Izevich Groysman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 17360 Brookhurst St., Fountain Valley, CA 92708 Phone: 877-844-0012 Fax: 714-665-4680 | |
Dr. Renuka Narain Patel, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 18837 Brookhurst St Ste 110, Fountain Valley, CA 92708 Phone: 314-246-0394 | |
Mohammad Reza Hajighasemi-ossareh, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 17360 Brookhurst Street, Fountain Valley, CA 92708 Phone: 877-844-0012 Fax: 714-665-4680 | |
Dr. Mimi Shishou Lee, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 17360 Brookhurst Street, Fountain Valley, CA 92708 Phone: 877-844-0012 Fax: 714-665-4680 |