Om Prakash (NPI# 1093873580, PAC ID# 2264579507) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1093873580 |
| PAC ID by PECOS | 2264579507 |
| Professional Enrollment ID | I20091020000114 |
| Full Name | Om Prakash |
| Address |
17100 Pioneer Blvd Suite 313 Artesia CA 90701-2740 |
| Phone Number | 6265237870 |
| Gender | M |
| Graduation Year | 1959 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050771 | COAST PLAZA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 17100 Pioneer Blvd, Suite 313, Artesia, CA 90701-2740 | 6265237870 | |
| 17100 Pioneer Blvd, Artesia, CA 90701-2740 | 6265237870 |
| Street Address |
17100 PIONEER BLVD SUITE 313 |
| City | ARTESIA |
| State | CA |
| Zip | 90701-2740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Gary Fong | Ophthalmology | Peter Ho Win Md Inc | 11911 Artesia Blvd, Suite 201, Cerritos, CA 90701-2729 |
| Ellis M Suh | Chiropractic | 17127 Pioneer Blvd, H, Artesia, CA 90701-2759 | |
| Ken Iwaki | Chiropractic | 11700 Artesia Blvd, Artesia, CA 90701-3804 | |
| Ken Imoto | Optometry | 11436 Artesia Blvd, Suite D, Artesia, CA 90701-3859 | |
| Roy Egari | General Practice | 18011 Pioneer Blvd, Artesia, CA 90701-3904 | |
| Shawn S Rabbani | Podiatry | 18022 Pioneer Blvd, Artesia, CA 90701-3905 | |
| Sherry B Simsuangco | Physical Therapy | 17906 Pioneer Blvd, Suite 101and102, Artesia, CA 90701-3972 | |
| Thuy L Pham | Optometry | 17617 Pioneer Blvd, Artesia, CA 90701-4008 | |
| Eileen G Holbrook | Physical Therapy | 11911 Artesia Blvd, Suite 207, Cerritos, CA 90701-4060 | |
| Carlos Castro | Chiropractic | 11911 Artesia Blvd, Suite 102, Cerritos, CA 90701-4060 | |
| Find all physicians in zip 90701 | |||
| City | ARTESIA |
| Zip Code | 90701 |
| Specialty | PSYCHIATRY |
| City + Specialty | ARTESIA + PSYCHIATRY |
Please comment or provide details below to improve the information on Om Prakash.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.