| Dr Moises Enghelberg, DO | |
|
30200 Agoura Rd Ste 140, Agoura Hills, CA 91301-5426 | |
| (747) 247-8400 | |
| (747) 247-8111 |
| Full Name | Dr Moises Enghelberg |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 10 Years |
| Location | 30200 Agoura Rd Ste 140, Agoura 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 |
|---|---|---|---|
| 1730570896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 20A17131 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Memorial Hospital San Buenaventura | Ventura, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paul J Dougherty M D Inc | 9739171828 | 13 |
| 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 | Paul J Dougherty M D Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649203639 PECOS PAC ID: 9739171828 Enrollment ID: O20040330001868 |
| Entity Name | Pacific Eye Institute A Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962422709 PECOS PAC ID: 7911966122 Enrollment ID: O20041004001187 |
| Entity Name | Desert Ophthalmology Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386710564 PECOS PAC ID: 5496895377 Enrollment ID: O20091228000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Moises Enghelberg, DO 30200 Agoura Rd Ste 140, Agoura Hills, CA 91301-5426 Ph: (747) 247-8400 | Dr Moises Enghelberg, DO 30200 Agoura Rd Ste 140, Agoura Hills, CA 91301-5426 Ph: (747) 247-8400 |
Debra G Tennen, M.D. Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 29525 Canwood St, Ste 210, Agoura Hills, CA 91301 Phone: 818-707-4277 Fax: 818-707-4291 |