Mr Mahmoud Ajang, MD | |
378 W 6th St, San Pedro, CA 90731 | |
(310) 547-2882 | |
(310) 547-3015 |
Full Name | Mr Mahmoud Ajang |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 378 W 6th St, San Pedro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922182682 | NPI | - | NPPES |
00A377170 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A37717 (California) | Primary |
Entity Name | Mahmoud Ajang M.d., A Professional Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346400819 PECOS PAC ID: 0446319263 Enrollment ID: O20081110000197 |
Mailing Address | Practice Location Address |
---|---|
Mr Mahmoud Ajang, MD 3466 Hightide Dr, Rancho Palos Verdes, CA 90275 Ph: (310) 547-2882 | Mr Mahmoud Ajang, MD 378 W 6th St, San Pedro, CA 90731 Ph: (310) 547-2882 |
Amber Marie Kondor, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 150 W 7th St, San Pedro, CA 90731 Phone: 310-519-6100 Fax: 310-732-5809 | |
Dr. Mark Iver Honig, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 150 W 7th St, San Pedro, CA 90731 Phone: 310-519-6100 | |
Dr. Laron E. Phillips, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 150 W 7th St, San Pedro, CA 90731 Phone: 310-519-6100 | |
Richard S Gluckman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1360 W 6th St, #350, North Bldg, San Pedro, CA 90732 Phone: 310-832-6428 Fax: 310-832-5178 | |
Dr. John Louis Perry Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 150 W 7th St, San Pedro, CA 90731 Phone: 310-519-6100 | |
Dr. James Steven Brust, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2403 S Moray Ave, Suite 4, San Pedro, CA 90732 Phone: 310-832-7943 Fax: 310-514-8017 | |
Dr. Roger Lee Engelbert, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 150 W 7th St, San Pedro, CA 90731 Phone: 310-519-6100 Fax: 310-732-5809 |