| Dr Amir Abbas Pouradib, MD | |
|
24012 Calle De La Plata Ste 120, Laguna Hills, CA 92653-3632 | |
| (949) 588-7246 | |
| (949) 272-3746 |
| Full Name | Dr Amir Abbas Pouradib |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 25 Years |
| Location | 24012 Calle De La Plata Ste 120, Laguna Hills, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326087727 | NPI | - | NPPES |
| APPLYING | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | A80929 (California) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | A80929 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mission Hospital Regional Med Center | Mission viejo, CA | Hospital |
| Memorialcare Saddleback Medical Center | Laguna hills, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Management Associates Inc | 0244242576 | 4 |
| Entity Name | Pain Management Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760429252 PECOS PAC ID: 0244242576 Enrollment ID: O20060630000335 |
| Entity Name | Interventional Spine Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1639498579 PECOS PAC ID: 3375779614 Enrollment ID: O20131115000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amir Abbas Pouradib, MD Po Box 4034, Irvine, CA 92616-4034 Ph: (949) 588-7246 | Dr Amir Abbas Pouradib, MD 24012 Calle De La Plata Ste 120, Laguna Hills, CA 92653-3632 Ph: (949) 588-7246 |
Mehdat Elfaizy, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 24022 Calle De La Plata Ste 180, Laguna Hills, CA 92653 Phone: 949-458-3551 | |
Dr. Laura Heejin Park, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 800-888-2186 | |
Dr. Kathleen Beatrice Sullivan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 949-837-4500 Fax: 949-837-4621 | |
Dr. Hoang Tran, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 949-837-4500 Fax: 949-837-4621 | |
Dr. James W. Russell, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 949-837-4500 Fax: 949-837-4621 | |
Dr. Afshin S Gerayli, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 24953 Paseo De Valencia, Suite#14-c, Laguna Hills, CA 92653 Phone: 949-855-7560 Fax: 949-855-7590 | |
Dr. Dorming Wong, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 949-837-4500 Fax: 949-837-4621 |