| Edmond Abdou, MD | |
|
2525 Bayfront Blvd, Hercules, CA 94547-1609 | |
| (310) 000-0000 | |
| Not Available |
| Full Name | Edmond Abdou |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 2525 Bayfront Blvd, Hercules, 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 |
|---|---|---|---|
| 1386225316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 186698 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa monica, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Institute | 5991609737 | 303 |
| The Regents Of The University Of California | 1355248584 | 1426 |
| Entity Name | Providence Medical Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910 |
| Entity Name | The Regents of the University of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439 |
| Entity Name | Regents of the University of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538 |
| Mailing Address | Practice Location Address |
|---|---|
| Edmond Abdou, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: Not Available | Edmond Abdou, MD 2525 Bayfront Blvd, Hercules, CA 94547-1609 Ph: (310) 000-0000 |
Mrs. Evelina A. Olson, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1620 Swallow Way, Hercules, CA 94547 Phone: 510-915-0158 |
Maria Escalada, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Alfred Nobel Dr, Suite 150, Hercules, CA 94547 Phone: 510-779-2100 |