Look up the most recent NPI and PECOS records

Gabriel George Haddad

Pediatrics

Allopathic & Osteopathic Physicians

8001 Frost St, Suite 201, San Diego, CA 92123-2746

PECOS Enrollment

Based on the most recent information from CMS, provider Gabriel George Haddad does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1447479746
Provider Type
Individual
Full Name
Haddad, Gabriel George
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/25/2007
Last Updated
7/8/2007

Contact Information

Practice Location

8001 Frost St, Suite 201, San Diego, CA 92123-2746

(858) 966-8536

Unlisted Fax

Mailing Location

3860 Calle Fortunada, Suite 210, San Diego, CA 92123-4800

(858) 309-6303

(858) 309-6301

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License C52238 California

Provider Identifiers

ID	Description	Issuer
ID 00C522380	Description Medicaid	Issuer Unlisted California

Gabriel George Haddad

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Mannino Avila, Elizabeth Ellen

Gracia, Michael Loy

Burns, Jane Cary

Nguyen, Vi T.

Koo, Jenny

Demeterco-Berggren, Carla

Hooft, Anneka

Patel, Umaben

Gorham, Laura

Graff, Nancy