| Evan Vidal, DO | |
|
1000 W Carson St, Torrance, CA 90502-2004 | |
| (310) 222-3891 | |
| Not Available |
| Full Name | Evan Vidal |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 5 Years |
| Location | 1000 W Carson St, Torrance, 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 |
|---|---|---|---|
| 1396360947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 20A22605 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lac/harbor-ucla Med Center | Torrance, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michael Decker Do, Inc. | 9830481746 | 15 |
| Entity Name | Michael Decker Do, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528410842 PECOS PAC ID: 9830481746 Enrollment ID: O20160714000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Vidal, DO 1000 W Carson St, Torrance, CA 90502-2004 Ph: (310) 222-3891 | Evan Vidal, DO 1000 W Carson St, Torrance, CA 90502-2004 Ph: (310) 222-3891 |
Dr. Eric Tsu, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5315 Torrance Blvd # B-1, Torrance, CA 90503 Phone: 800-535-8446 | |
Dr. William Michael Barreto, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 Phone: 424-903-7007 Fax: 424-903-7009 | |
Harrison Ngo, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3848 W Carson St Ste 110, Torrance, CA 90503 Phone: 424-488-3191 | |
Ava Cicio, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3848 W Carson St Ste 110, Torrance, CA 90503 Phone: 424-488-3191 Fax: 310-933-4803 | |
Dr. Semyon Faynboym, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 19401 S Vermont Ave Ste K100k, Torrance, CA 90502 Phone: 323-638-4263 | |
Erin Armstrong, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2990 Lomita Blvd # B, Torrance, CA 90505 Phone: 310-546-3461 | |
Dr. Annette Marie Genova, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3330 Lomita Blvd, Torrance Memorial Medical Center, Torrance, CA 90505 Phone: 310-528-2996 Fax: 310-540-4640 |