George W Christison, MD | |
11374 Mountain View Ave, Suite A, Loma Linda, CA 92354-3830 | |
(909) 558-4505 | |
Not Available |
Full Name | George W Christison |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 11374 Mountain View Ave, 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 |
---|---|---|---|
1174548135 | NPI | - | NPPES |
00G630380 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | G63038 (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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George W Christison, MD 54701 File Number, Los Angeles, CA 90074-4701 Ph: (909) 558-3111 | George W Christison, MD 11374 Mountain View Ave, Suite A, Loma Linda, CA 92354-3830 Ph: (909) 558-4505 |
Edward R Verde, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11374 Mountain View Ave, Suite A, Loma Linda, CA 92354 Phone: 909-558-4505 | |
Dr. Frank Randall, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, House Staff Office Cp21005, Loma Linda, CA 92354 Phone: 818-635-7623 | |
Khashayar Dashtipour, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 2400, Loma Linda, CA 92354 Phone: 909-558-2880 | |
Shauna Chi-yee Cheung, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste B-100, Loma Linda, CA 92354 Phone: 909-558-2880 | |
Dr. Carmen Protesta Gonzales-nate, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11660 Emerald Dr, Loma Linda, CA 92354 Phone: 909-799-6343 Fax: 909-799-6343 | |
Dr. Firas Bannout, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite B-100, Loma Linda, CA 92354 Phone: 909-558-2880 | |
Theresa L Labarte, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste B-100, Loma Linda, CA 92354 Phone: 909-558-2880 |