| Barbour & Floyd Medical Associates | |
|
2640 Industry Way Suite B Lynwood CA 90262-4000 | |
| (310) 627-4525 | |
| (310) 627-4531 |
| Full Name | Barbour & Floyd Medical Associates |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2640 Industry Way, Lynwood, California |
| Authorized Official Name and Position | Jack Barbour (CO-DIRECTOR) |
| Authorized Official Contact | 3106318004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbour & Floyd Medical Associates 2610 Industry Way Suite A Lynwood CA 90262-4028 Ph: (310) 631-8004 | Barbour & Floyd Medical Associates 2640 Industry Way Suite B Lynwood CA 90262-4000 Ph: (310) 627-4525 |
| NPI Number | 1780713420 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/28/2023 |
| Medicare PECOS PAC ID | 8729117411 |
|---|---|
| Medicare Enrollment ID | O20101004000982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780713420 | NPI | - | NPPES |
| 7218 | Other | CA | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Maricela Madrigal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093048316 PECOS PAC ID: 5092060442 Enrollment ID: I20180626002249 |
| Provider Name | Alexander Darius Ghobadimanesh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043699929 PECOS PAC ID: 1254693237 Enrollment ID: I20190703000636 |
| Provider Name | Vernica Foots |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184250144 PECOS PAC ID: 9537577937 Enrollment ID: I20210525000191 |
| Provider Name | Nadezhda Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033269188 PECOS PAC ID: 9335527910 Enrollment ID: I20220610000617 |
| Provider Name | Nakia R Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013336148 PECOS PAC ID: 8224405501 Enrollment ID: I20221028001337 |
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