Keyvan Malekshamran, MD | |
1121 E Washington Ave, Escondido, CA 92025-2214 | |
(760) 871-0606 | |
Not Available |
Full Name | Keyvan Malekshamran |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1121 E Washington Ave, Escondido, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952466112 | NPI | - | NPPES |
WA94845A | Other | CA | INDIVIDUAL PTAN |
W3731 | Other | CA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A94845 (California) | Primary |
Entity Name | Neighborhood Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598703647 PECOS PAC ID: 5294649406 Enrollment ID: O20031112000809 |
Entity Name | Borrego Community Health Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144165 PECOS PAC ID: 1759299944 Enrollment ID: O20040122000961 |
Mailing Address | Practice Location Address |
---|---|
Keyvan Malekshamran, MD 69175 Ramon Rd Ste A, Cathedral City, CA 92234-3344 Ph: (760) 321-6776 | Keyvan Malekshamran, MD 1121 E Washington Ave, Escondido, CA 92025-2214 Ph: (760) 871-0606 |
Monte R Klaudt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 732 N Broadway, Pediatrics, Escondido, CA 92025 Phone: 800-290-5000 | |
Bernard Wosk, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1121 E Washington Ave, Escondido, CA 92025 Phone: 760-871-0606 | |
Elizabeth E. Payne, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 625 W. Citracado Parkway, Suite 200, Escondido, CA 92025 Phone: 760-746-2641 Fax: 760-740-2178 | |
Karla Strazicich, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 460 N Elm St, Escondido, CA 92025 Phone: 760-737-2000 Fax: 760-737-2039 | |
Sandra Choe, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 460 N Elm St, Escondido, CA 92025 Phone: 760-737-2000 Fax: 760-737-2039 | |
Dr. Sharon R Sternfeld, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 E Grand Ave, Escondido, CA 92025 Phone: 760-746-2641 Fax: 760-740-2178 | |
Dr. Mary J Spencer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 910 E Ohio Ave, Ste 103, Escondido, CA 92025 Phone: 760-745-7313 Fax: 760-745-6360 |