| Mr Rafik M Sidrak, MD | |
|
4010 Watson Plaza Dr, Suite 285, Lakewood, CA 90712-4037 | |
| (562) 497-1505 | |
| (562) 497-1881 |
| Full Name | Mr Rafik M Sidrak |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4010 Watson Plaza Dr, Lakewood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821188251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A40996 (California) | Primary |
| Entity Name | Innovative Medical Solutions Inc A Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972624955 PECOS PAC ID: 5294783080 Enrollment ID: O20050107000871 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rafik M Sidrak, MD 4010 Watson Plaza Dr, Suite 285, Lakewood, CA 90712-4037 Ph: (562) 497-1505 | Mr Rafik M Sidrak, MD 4010 Watson Plaza Dr, Suite 285, Lakewood, CA 90712-4037 Ph: (562) 497-1505 |
Dr. Dwight Alan Bergquist, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5230 N. Clark Ave. #10, Lakewood, CA 90712 Phone: 562-804-4428 Fax: 562-867-5264 | |
Michael Alan Erlich, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3650 E South Street, Suite 108, Lakewood, CA 90712 Phone: 562-633-1007 Fax: 562-633-6427 | |
Mr. Jorge Dubin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4010 Watson Plaza Dr, Suite 285, Lakewood, CA 90712 Phone: 562-497-1505 Fax: 562-497-1881 |