Mr Houssam Fayad, MD | |
31569 Canyon Estates Dr Ste 225, Lake Elsinore, CA 92532-0472 | |
(951) 228-9010 | |
(951) 609-2080 |
Full Name | Mr Houssam Fayad |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 31569 Canyon Estates Dr Ste 225, Lake Elsinore, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013212430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 263070 (New York) | Secondary |
208000000X | Pediatrics | 050118 (Connecticut) | Secondary |
208000000X | Pediatrics | 133149 (California) | Primary |
Entity Name | Pediatrics R Us Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114452224 PECOS PAC ID: 4981967882 Enrollment ID: O20180405001917 |
Mailing Address | Practice Location Address |
---|---|
Mr Houssam Fayad, MD 31569 Canyon Estates Dr Ste 225, Lake Elsinore, CA 92532-0472 Ph: (951) 228-9010 | Mr Houssam Fayad, MD 31569 Canyon Estates Dr Ste 225, Lake Elsinore, CA 92532-0472 Ph: (951) 228-9010 |
Mohammad Imandoust, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3762 Mission Trail Suite F, Lake Elsinore, CA 92530 Phone: 951-674-5686 Fax: 951-674-4707 | |
Dr. Jimmy Ninh Hoang Phan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 425 Diamond Dr Ste 103, Lake Elsinore, CA 92530 Phone: 951-981-3122 Fax: 951-981-3123 | |
Mrs. Latiffah Abdullah Mcginness, MD FAAP MBBS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 32299 Wildomar Road, Lake Elsinore, CA 92530 Phone: 951-471-0042 Fax: 951-471-0422 |