Dr Michael John Enenbach, MD | |
300 Medical Plz, Los Angeles, CA 90095-0001 | |
(310) 825-9989 | |
Not Available |
Full Name | Dr Michael John Enenbach |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 300 Medical Plz, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477583953 | NPI | - | NPPES |
00A759860 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A75986 (California) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD00048141 (Washington) | Secondary |
Entity Name | Uc Regents |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750368999 PECOS PAC ID: 0749180453 Enrollment ID: O20040109000819 |
Mailing Address | Practice Location Address |
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Dr Michael John Enenbach, MD 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 Ph: (310) 825-9989 | Dr Michael John Enenbach, MD 300 Medical Plz, Los Angeles, CA 90095-0001 Ph: (310) 825-9989 |
Dr. Joshua Hyong-jin Cho, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 Ucla Medical Plz Ste 3200a, Los Angeles, CA 90095 Phone: 310-301-7396 Fax: 310-313-9247 | |
Dr. Shabnam Balali, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11301 Wilshire Blvd, Los Angeles, CA 90073 Phone: 310-478-3711 | |
Dr. Inna Keselman, M.D., PH.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plaza # B200, Los Angeles, CA 90095 Phone: 310-794-1195 Fax: 310-794-7491 | |
Dr. Melissa Nicole Sullivan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 760 Westwood Plz, Suite C8-222, Los Angeles, CA 90024 Phone: 310-825-9989 | |
Dr. Gary Pedneault, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7257 W Manchester Ave Apt 3, Los Angeles, CA 90045 Phone: 310-410-8266 | |
Nasheed Ishrat Jamal, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 710 Westwood Plz Rm 1-240, Los Angeles, CA 90095 Phone: 310-825-6681 | |
Sneha Venkatraman, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 760 Westwood Plz Ste C8-193, Los Angeles, CA 90024 Phone: 424-325-8099 |