| Dwight A David, MD | |
|
15111 Whittier Blvd, Ste 102, Whittier, CA 90603-2136 | |
| (562) 945-6440 | |
| (562) 945-9121 |
| Full Name | Dwight A David |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 15111 Whittier Blvd, Whittier, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487653531 | NPI | - | NPPES |
| 00A407640 | Other | CA | BLUE SHIELD |
| A40764 | Other | CA | BCBS |
| B010 | Other | CA | CHAMPUS |
| 00A407640 | Medicaid | CA | |
| 110232328 | Other | CA | MEDICARE RAIL ROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A40764 (California) | Primary |
| Entity Name | Bergman Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639177520 PECOS PAC ID: 2264468883 Enrollment ID: O20050714000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Dwight A David, MD 15111 Whittier Blvd, Ste 102, Whittier, CA 90603-2136 Ph: (562) 945-6440 | Dwight A David, MD 15111 Whittier Blvd, Ste 102, Whittier, CA 90603-2136 Ph: (562) 945-6440 |
Sandra Garcia Madrid, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 12462 Washington Blvd, Whittier, CA 90602 Phone: 562-693-0725 Fax: 562-693-2468 | |
Dr. Sean William Welsh, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 7624 Painter Ave Ste 100, Whittier, CA 90602 Phone: 562-945-9333 | |
Geetha V. Gabbita, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 14568 Whittier Blvd, Whittier, CA 90605 Phone: 562-698-8263 Fax: 562-698-1001 | |
Payal Shah, General Practice Medicare: Medicare Enrolled Practice Location: 12522 Lambert Rd, Whittier, CA 90606 Phone: 562-789-5420 | |
Shokouh Tamadon, MD General Practice Medicare: Medicare Enrolled Practice Location: 15111 Whittier Blvd, Suite 102, Whittier, CA 90603 Phone: 562-945-6440 Fax: 562-945-9121 |