Mohammad-ali Doroudchi, | |
9850 Genesee Ave Ste 710, La Jolla, CA 92037-1218 | |
(858) 260-2977 | |
Not Available |
Full Name | Mohammad-ali Doroudchi |
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Gender | Male |
Speciality | Allergy & Immunology |
Location | 9850 Genesee Ave Ste 710, La Jolla, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407316136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | A177620 (California) | Primary |
Entity Name | Modena Allergy & Asthma Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508527797 PECOS PAC ID: 9436545274 Enrollment ID: O20220405000827 |
Mailing Address | Practice Location Address |
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Mohammad-ali Doroudchi, 9850 Genesee Ave Ste 710, La Jolla, CA 92037-1218 Ph: (858) 260-2977 | Mohammad-ali Doroudchi, 9850 Genesee Ave Ste 710, La Jolla, CA 92037-1218 Ph: (858) 260-2977 |
Dr. Donald D. Stevenson, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-764-9010 | |
Stephen Ira Wasserman, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 9350 Campus Point Dr, Suite 2a, La Jolla, CA 92037 Phone: 858-657-8322 Fax: 858-534-7517 | |
Dr. Bernard A Feigenbaum, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 9850 Genesee Ave, 355, La Jolla, CA 92037 Phone: 619-291-5800 Fax: 866-903-3908 | |
Dr. Arthur Kavanaugh, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 9350 Campus Point Dr, Mail Code 0997, La Jolla, CA 92037 Phone: 858-657-7044 Fax: 858-657-7045 |