Albert Modad, in San Clemente, CA - Medicare Provider

Albert Modad, is a medicare enrolled "Psychologist - Clinical" provider in San Clemente, California. His current practice location is 1211 Puerta Del Sol, San Clemente, California. You can reach out to his office (for appointments etc.) via phone at (949) 276-5553.

Albert Modad is licensed to practice in California (license number 29697) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629453691.

Contact Information

	Albert Modad,
	1211 Puerta Del Sol, San Clemente, CA 92673-6306
	(949) 276-5553
	Not Available

Healthcare Provider's Profile

Full Name	Albert Modad
Gender	Male
Speciality
Experience	Years
Location	1211 Puerta Del Sol, San Clemente, 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.

Medical Education and Training:

Albert Modad attended and graduated from in

NPI Data:

NPI Number: 1629453691
Provider Enumeration Date: 07/20/2015
Last Update Date: 03/16/2018

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Albert Modad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629453691	NPI	-	NPPES
39	Other	CA	STUDENT IN A HEALTH CARE TRAINING PROGRAM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	29697 (California)	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. Albert Modad is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Albert Modad, 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 906-4623	Albert Modad, 1211 Puerta Del Sol, San Clemente, CA 92673-6306 Ph: (949) 276-5553

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Albert Modad, - Medicare Psychologist in San Clemente, CA