| Dr Shinto Jacob Koshy, MD | |
|
1041 E Yorba Linda Blvd Ste 210, Placentia, CA 92870-3763 | |
| (818) 386-6358 | |
| (714) 223-7000 |
| Full Name | Dr Shinto Jacob Koshy |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 18 Years |
| Location | 1041 E Yorba Linda Blvd Ste 210, Placentia, 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 |
|---|---|---|---|
| 1780816314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A139304 (California) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | A139304 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Jude Medical Center | Fullerton, CA | Hospital |
| Entity Name | Desert Pain Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114244126 PECOS PAC ID: 6305978750 Enrollment ID: O20100720000818 |
| Entity Name | Centers Of Rehabilitation & Pain Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184933830 PECOS PAC ID: 9830378124 Enrollment ID: O20110119000202 |
| Entity Name | Integrative Sports And Spine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245630557 PECOS PAC ID: 7012230212 Enrollment ID: O20141218002535 |
| Entity Name | West Coast Health And Rehab Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043743891 PECOS PAC ID: 8325315609 Enrollment ID: O20170517002654 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shinto Jacob Koshy, MD 1041 E Yorba Linda Blvd Ste 210, Placentia, CA 92870-3763 Ph: (818) 386-6358 | Dr Shinto Jacob Koshy, MD 1041 E Yorba Linda Blvd Ste 210, Placentia, CA 92870-3763 Ph: (818) 386-6358 |
Dr. Fred E Nowroozi, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1501 N Placentia Ave, Placentia, CA 92870 Phone: 714-223-7000 Fax: 714-223-7001 |