| Habib A. Ismail, M.d., Inc. | |
|
1330 W Covina Blvd Suite 103 San Dimas CA 91773-3200 | |
| (626) 914-2831 | |
| (909) 599-6217 |
| Full Name | Habib A. Ismail, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1330 W Covina Blvd, San Dimas, California |
| Authorized Official Name and Position | Habib A. Ismail (OWNER) |
| Authorized Official Contact | 6269142831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Habib A. Ismail, M.d., Inc. 1330 W Covina Blvd Suite 103 San Dimas CA 91773-3200 Ph: (626) 914-2831 | Habib A. Ismail, M.d., Inc. 1330 W Covina Blvd Suite 103 San Dimas CA 91773-3200 Ph: (626) 914-2831 |
| NPI Number | 1720366677 |
|---|---|
| Provider Enumeration Date | 07/26/2011 |
| Last Update Date | 07/26/2011 |
| Medicare PECOS PAC ID | 9638343148 |
|---|---|
| Medicare Enrollment ID | O20111118000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720366677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | A43523 (California) | Primary |
| Provider Name | Habib A Ismail |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205893245 PECOS PAC ID: 9032160346 Enrollment ID: I20050203000732 |
Mckinley- Private Pay Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Via Verde Ste 200, San Dimas, CA 91773 Phone: 909-599-1227 | |
Trinity Thrive Marriage And Family Therapy Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 358 E Bonita Ave Ste B, San Dimas, CA 91773 Phone: 909-413-4814 | |
Maureen Mcgarty, Psychologist, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 531 San Marcos Road, San Dimas, CA 91773 Phone: 706-340-6131 | |
Glenn L Abrams Marriage, Family, & Child Counseling Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 448 E Foothill Blvd Ste 208, San Dimas, CA 91773 Phone: 909-718-9354 Fax: 909-274-7207 | |
Joshua Kritsada Koh A Professional Psychiatric Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1173 N Dixie Dr, Suite 101, San Dimas, CA 91773 Phone: 909-599-4422 Fax: 909-599-5577 | |
Bonita Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 Phone: 909-592-4152 Fax: 909-592-2912 | |
Foothills Neurological Medical Gp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 W Covina Blvd, #103, San Dimas, CA 91773 Phone: 909-592-2145 Fax: 909-599-6217 |