| Ibbmed | |
|
450 N Bedford Dr Suite 204 Beverly Hills CA 90210-4324 | |
| (310) 888-8050 | |
| (310) 888-8021 |
| Full Name | Ibbmed |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 450 N Bedford Dr, Beverly Hills, California |
| Authorized Official Name and Position | P. David Leviadin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3108888050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ibbmed 450 N Bedford Dr Suite 304 Beverly Hills CA 90210-4324 Ph: (310) 888-8050 | Ibbmed 450 N Bedford Dr Suite 204 Beverly Hills CA 90210-4324 Ph: (310) 888-8050 |
| NPI Number | 1215238555 |
|---|---|
| Provider Enumeration Date | 11/03/2010 |
| Last Update Date | 11/03/2010 |
| Medicare PECOS PAC ID | 7911165840 |
|---|---|
| Medicare Enrollment ID | O20120223000857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215238555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY23446 (California) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A60515 (California) | Primary |
| Provider Name | Pejman D Leviadin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518990027 PECOS PAC ID: 8123008133 Enrollment ID: I20040721000917 |
| Provider Name | Dana Tal Jebreel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215588983 PECOS PAC ID: 1254663800 Enrollment ID: I20191030003621 |
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