| Dr David J Michelson, MD | |
|
1115 S Sunset Ave, West Covina, CA 91790-3940 | |
| (626) 962-4011 | |
| Not Available |
| Full Name | Dr David J Michelson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 1115 S Sunset Ave, West Covina, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043233737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | A72008 (California) | Primary |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | County Of Riverside |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
| Entity Name | Sac Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
| Entity Name | Emanate Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326582743 PECOS PAC ID: 4981986866 Enrollment ID: O20170130001647 |
| Entity Name | Emanate Health Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467195073 PECOS PAC ID: 9830544980 Enrollment ID: O20231011003976 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David J Michelson, MD 11175 Campus St, Cp A1120f, Loma Linda, CA 92350-1700 Ph: (909) 558-8242 | Dr David J Michelson, MD 1115 S Sunset Ave, West Covina, CA 91790-3940 Ph: (626) 962-4011 |
Dr. Dayalal D. Tank, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 933 S Sunset Ave, West Covina, CA 91790 Phone: 626-813-1222 Fax: 626-813-1221 | |
Dr. Theresa Portugal, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1215 W West Covina Pkwy, West Covina, CA 91790 Phone: 626-227-7001 | |
Dr. Lina E. Shuhaibar, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2694 E Garvey Ave S # 22, West Covina, CA 91791 Phone: 626-905-6178 | |
Dr. Bimlesh Garg, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790 Phone: 626-962-8451 Fax: 626-962-8408 | |
Dr. Qun Xu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2707 E Valley Blvd, Suite 205, West Covina, CA 91792 Phone: 626-839-4570 Fax: 626-839-4582 | |
Dr. Maria Lucila Sison Llanes, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1515 W Cameron Ave Ste 202, West Covina, CA 91790 Phone: 626-814-0500 Fax: 626-814-0544 |