Dr Mehran Motamed, M,D | |
950 N Ramona Blvd, Suite 2, San Jacinto, CA 92582-2567 | |
(718) 551-1378 | |
Not Available |
Full Name | Dr Mehran Motamed |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 950 N Ramona Blvd, San Jacinto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1053415182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | A89851 (California) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | A89851 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Dr Mehran Motamed, M,D 31086 Larchwood St, Menifee, CA 92584-8702 Ph: (718) 551-1378 | Dr Mehran Motamed, M,D 950 N Ramona Blvd, Suite 2, San Jacinto, CA 92582-2567 Ph: (718) 551-1378 |
Monica Teresa Peterson Gordon, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1370 S State St Ste B, San Jacinto, CA 92583 Phone: 951-791-3596 Fax: 951-791-3397 | |
Dr. Ijeoma Ijeaku, MD, MPH Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 950 N Ramona Blvd, Ste 2, San Jacinto, CA 92582 Phone: 951-487-2674 | |
Dr. Farah Raana Zaidi, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1370 S State St, San Jacinto, CA 92583 Phone: 951-791-3596 | |
Dr. Kenneth Alan Monte, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 950 N Ramona Blvd, San Jacinto, CA 92582 Phone: 951-487-2674 Fax: 951-487-2679 |