| Joshua Kritsada Koh, MD | |
|
1173 N Dixie Dr, Suite 101, San Dimas, CA 91773-1200 | |
| (909) 599-4422 | |
| (909) 599-5577 |
| Full Name | Joshua Kritsada Koh |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 41 Years |
| Location | 1173 N Dixie Dr, San Dimas, 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 |
|---|---|---|---|
| 1871609271 | NPI | - | NPPES |
| A50936 | Other | CA | MEDCIAL LICENSE # |
| 00A509360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A50936 (California) | Primary |
| Entity Name | Mission City Community Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544 |
| Entity Name | Foothills Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100318000835 |
| Entity Name | Foothills Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100414000905 |
| Entity Name | Joshua Kritsada Koh A Professional Psychiatric Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114249240 PECOS PAC ID: 8527014992 Enrollment ID: O20101112000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Kritsada Koh, MD 2058 N Mills Ave, #518, Claremont, CA 91711-2812 Ph: (909) 599-4422 | Joshua Kritsada Koh, MD 1173 N Dixie Dr, Suite 101, San Dimas, CA 91773-1200 Ph: (909) 599-4422 |
Dr. Divya Krishnamoorthy, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 762 Cypress St, San Dimas, CA 91773 Phone: 909-599-1227 Fax: 206-299-9789 | |
Habib Ali Ismail, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1330 W Covina Blvd, Ste 103, San Dimas, CA 91773 Phone: 909-592-2145 Fax: 909-599-6217 | |
Dr. Hanumantharao Damerla, M.D., Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1900 Sycamore Canyon Rd, San Dimas, CA 91773 Phone: 626-975-2968 Fax: 213-639-1361 | |
Dr. Jia Mao, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 540 E Foothill Blvd Ste 100h, San Dimas, CA 91773 Phone: 626-466-6628 | |
Mohsen Ibrahim Ali, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1330 W Covina Blvd, Suite 103, San Dimas, CA 91773 Phone: 909-592-2145 Fax: 909-599-6217 |