Dr Scott Bruce Gladstone, MD | |
1225 W 190th St Ste 280, Gardena, CA 90248-4305 | |
(310) 515-8113 | |
(310) 538-2102 |
Full Name | Dr Scott Bruce Gladstone |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1225 W 190th St Ste 280, Gardena, 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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1427389691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD7841 (Hawaii) | Primary |
Entity Name | Ehab Yacoub Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
Mailing Address | Practice Location Address |
---|---|
Dr Scott Bruce Gladstone, MD 75-5915 Walua Rd, Kailua Kona, HI 96740-1375 Ph: (808) 329-7774 | Dr Scott Bruce Gladstone, MD 1225 W 190th St Ste 280, Gardena, CA 90248-4305 Ph: (310) 515-8113 |
Ronald G St. Hill, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 | |
Robert D Rosenberg, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102 | |
Judy Man, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 14112 S Kingsley Dr, Gardena, CA 90249 Phone: 310-222-3159 | |
Dr. Thomas Martin Johnson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102 | |
Dr. Robert Peterson, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1045 W Redondo Beach Blvd Fl 3, Gardena, CA 90247 Phone: 323-241-6730 | |
Dr. Khang Manh Nguyen, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 14112 S Kingsley Dr, Gardena, CA 90249 Phone: 310-217-7328 Fax: 310-352-3111 |