Wakelin Mcneel Iii Md | |
4619 Rosemead Blvd Rosemead CA 91770-1478 | |
(626) 286-1191 | |
(626) 332-6587 |
Full Name | Wakelin Mcneel Iii Md |
---|---|
Speciality | Psychiatry & Neurology |
Location | 4619 Rosemead Blvd, Rosemead, California |
Authorized Official Name and Position | Wakelin Mcneel (PSYCHIATRIST) |
Authorized Official Contact | 6263320556 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Wakelin Mcneel Iii Md 750 Terrado Plz Ste 40 Covina CA 91723-3419 Ph: (626) 332-0556 | Wakelin Mcneel Iii Md 4619 Rosemead Blvd Rosemead CA 91770-1478 Ph: (626) 286-1191 |
NPI Number | 1235335928 |
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Provider Enumeration Date | 06/21/2007 |
Last Update Date | 02/14/2017 |
Medicare PECOS PAC ID | 8426135351 |
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Medicare Enrollment ID | O20080402000822 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235335928 | NPI | - | NPPES |
00G789330 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | G78933 (California) | Primary |
Provider Name | Wakelin Mcneel |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730192931 PECOS PAC ID: 2466467352 Enrollment ID: I20060214000433 |
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