Dr Ali Younes Mejaddam, MD | |
11234 Anderson St, Loma Linda, CA 92354-2804 | |
(909) 558-8000 | |
Not Available |
Full Name | Dr Ali Younes Mejaddam |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 11234 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285900993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | TR 2680 (New Hampshire) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | A161930 (California) | Primary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Mailing Address | Practice Location Address |
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Dr Ali Younes Mejaddam, MD 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 Ph: (909) 558-2822 | Dr Ali Younes Mejaddam, MD 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (909) 558-8000 |
Dr. Rex Tong Hyun Chung, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11175 Campus St, Rm 21008, Loma Linda, CA 92350 Phone: 909-558-8131 | |
Sharon S Lum, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 2100, Loma Linda, CA 92354 Phone: 909-558-2822 | |
Dr. Hamza Durrani, M.B.B.S. Surgery Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-651-9863 | |
Jason A Tomlin, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 11370 Anderson St, Suite 2100, Loma Linda, CA 92354 Phone: 909-558-2822 Fax: 909-558-3905 | |
Laurel Guthrie, Surgery Medicare: Medicare Enrolled Practice Location: 11175 Campus St Ste 21111, Loma Linda, CA 92350 Phone: 909-558-5939 | |
Dr. Richard Lester Yukl, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 24382 Lawton Ave, Loma Linda, CA 92354 Phone: 909-796-6472 Fax: 909-796-6472 | |
Dr. Ryan Anthony Hayton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 |