Dr Manouchehr Seyfzadeh, MD, PHD | |
188 E 17th St, Suite 101, Costa Mesa, CA 92627-3763 | |
(949) 646-7110 | |
Not Available |
Full Name | Dr Manouchehr Seyfzadeh |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 29 Years |
Location | 188 E 17th St, Costa Mesa, 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 |
---|---|---|---|
1306895974 | NPI | - | NPPES |
WA62453B | Other | CA | PPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A062453 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Dermatology And Skin Cancer Specialists | 3678702206 | 13 |
Entity Name | South Coast Dermatology Institute, A Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033241138 PECOS PAC ID: 9931092426 Enrollment ID: O20040206000920 |
Entity Name | Advanced Dermatology & Skin Cancer Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881023927 PECOS PAC ID: 3678702206 Enrollment ID: O20140131000433 |
Mailing Address | Practice Location Address |
---|---|
Dr Manouchehr Seyfzadeh, MD, PHD 21351 Stonehaven Ln, Lake Forest, CA 92630-8049 Ph: (949) 855-4439 | Dr Manouchehr Seyfzadeh, MD, PHD 188 E 17th St, Suite 101, Costa Mesa, CA 92627-3763 Ph: (949) 646-7110 |
Ms. Rita K Nijjar, PA-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 275 Victoria St, Suite 1h, Costa Mesa, CA 92627 Phone: 949-646-2311 Fax: 949-646-1064 | |
Dr. Margaret M Shannon, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 275 Victoria St, Suite 1h, Costa Mesa, CA 92627 Phone: 949-646-2311 Fax: 949-646-1064 | |
Dr. Daniel Carl Dwyer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 275 Victoria St, Suite 2-h, Costa Mesa, CA 92627 Phone: 949-631-1051 Fax: 949-631-1052 |