Guisou Mahmoud, | |
2100 Powell St, Suite 900, Emeryville, CA 94608-1826 | |
(510) 350-2600 | |
Not Available |
Full Name | Guisou Mahmoud |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 26 Years |
Location | 2100 Powell St, Emeryville, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164435996 | NPI | - | NPPES |
00A797740 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A79774 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mission Hospital Regional Med Center | Mission viejo, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mission Viejo Emergency Medical Associates, Inc. | 7315090271 | 9 |
Entity Name | Mission Viejo Emergency Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073542916 PECOS PAC ID: 2163335241 Enrollment ID: O20031106000308 |
Entity Name | Mission Viejo Emergency Medical Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134355597 PECOS PAC ID: 7315090271 Enrollment ID: O20090725000046 |
Mailing Address | Practice Location Address |
---|---|
Guisou Mahmoud, 31872 Coast Hwy, Laguna Beach, CA 92651-6773 Ph: (949) 499-7193 | Guisou Mahmoud, 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 Ph: (510) 350-2600 |
Jeffery J Leinen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Powell St Ste 900, Emeryville, CA 94608 Phone: 510-350-2600 | |
Louis P Tran, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2100 Powell St, Suite 900, Emeryville, CA 94608 Phone: 510-350-2600 | |
Kathryn L Hall-boyer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Powell St Ste 900, Suite 900, Emeryville, CA 94608 Phone: 510-350-2600 Fax: 510-879-9100 | |
John L Hardin, PAC Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2100 Powell St Ste 900, Emeryville, CA 94608 Phone: 510-350-2673 | |
James M Montoya, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2100 Powell St, Suite 920, Emeryville, CA 94608 Phone: 510-350-2673 Fax: 510-597-9200 | |
Jaron Duane Ross, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Powell St, Suite 940, Emeryville, CA 94608 Phone: 888-883-7362 Fax: 510-879-9100 |