| Dr Nickoles Odell Mahaffey, MD | |
|
9449 Imperial Hwy Ste A206, Downey, CA 90242-2814 | |
| (562) 807-6200 | |
| Not Available |
| Full Name | Dr Nickoles Odell Mahaffey |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9449 Imperial Hwy Ste A206, Downey, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386842037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A106747 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nickoles Odell Mahaffey, MD 9449 Imperial Hwy Ste A206, Downey, CA 90242-2814 Ph: (562) 657-6200 | Dr Nickoles Odell Mahaffey, MD 9449 Imperial Hwy Ste A206, Downey, CA 90242-2814 Ph: (562) 807-6200 |
Dr. Joshua Mark Lichtman, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9449 Imperial Hwy Ste 206, Downey, CA 90242 Phone: 562-657-2010 Fax: 562-657-2779 | |
Dr. Theodore C Prentice, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11525 Brookshire Ave Ste 205, Downey, CA 90241 Phone: 562-861-1988 Fax: 562-861-5835 | |
Dr. Antoine E Mitri, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11525 Brookshire Ave Ste 205, Downey, CA 90241 Phone: 562-861-1988 Fax: 562-861-3835 | |
Ellen Chang Wong, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-385-7111 | |
David Millett, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7601 Imperial Hwy # Hb246c, Downey, CA 90242 Phone: 310-401-7611 | |
Dr. Thomas Robert Wolff Blair, M.D. (JUNE 2012) Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9449 Imperial Hwy, A206 (orchard, Beh Health), Downey, CA 90242 Phone: 562-807-6200 |