Faculty Physicians And Surgeons Of Llusm is a
Psychiatry & Neurology - Neurology based in Newport Beach, California. Faculty Physicians And Surgeons Of Llusm is licensed to practice in * (Not Available) (license number ) and their current practice location is
359 San Miguel Dr, Ste 105, Newport Beach, California. It can be reached at their office (for appointments etc.) via phone at
(909) 558-2880.
NPI number for Faculty Physicians And Surgeons Of Llusm is 1093117962 and their current mailing address is File # 54701, Los Angeles, California. Faculty Physicians And Surgeons Of Llusm
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1093117962.
Healthcare Provider's Profile
| Full Name | Faculty Physicians And Surgeons Of Llusm |
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| Type | Facility |
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| Speciality | Psychiatry & Neurology - Neurology |
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| Location | 359 San Miguel Dr, Newport Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093117962
- Provider Enumeration Date: 09/22/2014
- Last Update Date: 07/19/2019
Medical Identifiers
Medical identifiers for Faculty Physicians And Surgeons Of Llusm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093117962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Faculty Physicians And Surgeons Of Llusm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Faculty Physicians And Surgeons Of Llusm
File # 54701,
Los Angeles, CA 90074-4701
Ph: (909) 558-3111 | Faculty Physicians And Surgeons Of Llusm
359 San Miguel Dr, Ste 105,
Newport Beach, CA 92660-7812
Ph: (909) 558-2880 |
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