Dr David Michael Fallat, MD | |
1225 W 190th St Ste 280, Gardena, CA 90248-4305 | |
(877) 515-8113 | |
(877) 538-2102 |
Full Name | Dr David Michael Fallat |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1225 W 190th St Ste 280, Gardena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851430219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 35063909 (Ohio) | Primary |
Entity Name | Ehab Yacoub Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
Mailing Address | Practice Location Address |
---|---|
Dr David Michael Fallat, MD 2266 N State Route 123, Lebanon, OH 45036-8124 Ph: (513) 615-8904 | Dr David Michael Fallat, MD 1225 W 190th St Ste 280, Gardena, CA 90248-4305 Ph: (877) 515-8113 |
Dr. Manuel Ramon Mota-castillo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102 | |
Mrs. Adeshewa Adekunbi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 | |
Dr. Alvin Parker, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102 | |
Dr. Fabian Onyeka Ogala, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102 | |
Alison Mitchell, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102 | |
Ronald G St. Hill, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 | |
Dr. Scott Bruce Gladstone, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102 |