| Alidad Zadeh Do, Inc. | |
|
1600 S Imperial Ave Ste 5 El Centro CA 92243-4242 | |
| (442) 283-5861 | |
| (442) 283-5862 |
| Full Name | Alidad Zadeh Do, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1600 S Imperial Ave Ste 5, El Centro, California |
| Authorized Official Name and Position | Alidad Zadeh (CEO) |
| Authorized Official Contact | 4422835861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alidad Zadeh Do, Inc. 1600 S Imperial Ave Ste 5 El Centro CA 92243-4242 Ph: (442) 283-5861 | Alidad Zadeh Do, Inc. 1600 S Imperial Ave Ste 5 El Centro CA 92243-4242 Ph: (442) 283-5861 |
| NPI Number | 1912666827 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Medicare PECOS PAC ID | 6608268412 |
|---|---|
| Medicare Enrollment ID | O20220127001530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912666827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Steven C Dilsaver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154463941 PECOS PAC ID: 1951375112 Enrollment ID: I20040823001578 |
| Provider Name | Alidad M Zadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013154400 PECOS PAC ID: 7214093079 Enrollment ID: I20090303000044 |
| Provider Name | Austina B Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780770453 PECOS PAC ID: 5991862831 Enrollment ID: I20090320000503 |
| Provider Name | Gabriel Lam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659695971 PECOS PAC ID: 0749589703 Enrollment ID: I20160427000207 |
| Provider Name | Cheryl Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548643166 PECOS PAC ID: 4981913191 Enrollment ID: I20170911003169 |
| Provider Name | Sunday Adeyeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649754292 PECOS PAC ID: 3678819034 Enrollment ID: I20190107002498 |
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