| Mohsen Ibrahim Ali, MD | |
|
1330 W Covina Blvd, Suite 103, San Dimas, CA 91773-3200 | |
| (909) 592-2145 | |
| (909) 599-6217 |
| Full Name | Mohsen Ibrahim Ali |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 54 Years |
| Location | 1330 W Covina Blvd, 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 |
|---|---|---|---|
| 1750359071 | NPI | - | NPPES |
| 00A334060 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A33406 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Dimas Community Hospital | San dimas, CA | Hospital |
| San Antonio Regional Hospital | Upland, CA | Hospital |
| Pomona Valley Hospital Medical Center | Pomona, CA | Hospital |
| Montclair Hospital Medical Center | Montclair, CA | Hospital |
| Emanate Health Inter-community Hospital | Covina, CA | Hospital |
| Entity Name | Mohsen I Ali M D Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366765497 PECOS PAC ID: 4587649124 Enrollment ID: O20050331001169 |
| Entity Name | Parkside Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891935862 PECOS PAC ID: 4385790583 Enrollment ID: O20090912000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohsen Ibrahim Ali, MD 1330 W Covina Blvd, Suite 103, San Dimas, CA 91773-3200 Ph: (909) 592-2145 | Mohsen Ibrahim Ali, MD 1330 W Covina Blvd, Suite 103, San Dimas, CA 91773-3200 Ph: (909) 592-2145 |
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 | |
Joshua Kritsada Koh, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1173 N Dixie Dr, Suite 101, San Dimas, CA 91773 Phone: 909-599-4422 Fax: 909-599-5577 |