Mt. Everest Medical Pc | |
10440 Rexford Ct Cypress CA 90630-4633 | |
(339) 203-5104 | |
Not Available |
Full Name | Mt. Everest Medical Pc |
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Speciality | Psychiatry & Neurology |
Location | 10440 Rexford Ct, Cypress, California |
Authorized Official Name and Position | Abishek Rizal (OWNER, PRESIDENT) |
Authorized Official Contact | 3392035104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mt. Everest Medical Pc 10440 Rexford Ct Cypress CA 90630-4633 Ph: (339) 203-5104 | Mt. Everest Medical Pc 10440 Rexford Ct Cypress CA 90630-4633 Ph: (339) 203-5104 |
NPI Number | 1679047823 |
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Provider Enumeration Date | 01/21/2019 |
Last Update Date | 01/21/2019 |
Medicare PECOS PAC ID | 8123368628 |
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Medicare Enrollment ID | O20190320000878 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679047823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
Provider Name | Abishek R Rizal |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518132067 PECOS PAC ID: 8426207937 Enrollment ID: I20190320000866 |
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