Shenoda Yousef Azmy Abd Elmaseh, | |
26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691-8018 | |
(949) 276-2111 | |
Not Available |
Full Name | Shenoda Yousef Azmy Abd Elmaseh |
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Gender | Male |
Speciality | Family Medicine |
Location | 26800 Crown Valley Pkwy Ste 150, Mission Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194348656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 181983 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Shenoda Yousef Azmy Abd Elmaseh, 6472 Warner Ave Apt E, Huntington Beach, CA 92647-5158 Ph: (714) 487-1151 | Shenoda Yousef Azmy Abd Elmaseh, 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691-8018 Ph: (949) 276-2111 |
Dr. Nader A. Ahmad, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 23962 Alicia Pkwy, Saddleback Family & Urgent Care, Mission Viejo, CA 92691 Phone: 949-452-7699 Fax: 949-770-2815 | |
Randall Vincent Ricketts, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 26991 Crown Valley Pkwy, Mission Viejo, CA 92691 Phone: 949-582-5430 Fax: 949-348-9513 | |
Dr. David Alan Craddock, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 27660 Santa Margarita Pkwy, Mission Viejo, CA 92691 Phone: 949-951-7111 Fax: 949-951-2524 | |
Mary Yusook Moon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23512 Madero, Mission Viejo, CA 92691 Phone: 949-583-1600 | |
Sherri Lee Mokuau, Family Medicine Medicare: Medicare Enrolled Practice Location: 23781 Maquina, Mission Viejo, CA 92691 Phone: 888-988-2800 | |
Gail Silver, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23962 Alicia Pkwy, Ste I-1, Mission Viejo, CA 92691 Phone: 949-770-6000 |