| |
800 S Central Ave Ste 206, Glendale, CA 91204-4379 | |
(818) 240-2233 | |
(818) 240-2237 |
Full Name | |
---|---|
Type | Facility |
Speciality | Nurse Practitioner |
Location | 800 S Central Ave Ste 206, Glendale, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427578848 | NPI | - | NPPES |
A122407 | Other | CA | PAIN MEDICINE INTERVENTIONAL |
DC33522 | Other | CA | CHIROPRACTOR |
C35643 | Other | CA | PLASTIC SURGERY |
DC27167 | Other | CA | CHIROPRACTOR |
DC31558 | Other | CA | CHIROPRACTOR |
9500791 | Other | CA | NURSE PRACTIONER |
A122407 | Other | CA | PAINE MEDICINE INTERVENTIONAL |
Provider Name | Ahmed M Mahdi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467935858 PECOS PAC ID: 9638418528 Enrollment ID: I20190312001674 |
Provider Name | Lousine Egiazarian |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407412067 PECOS PAC ID: 9335328210 Enrollment ID: I20191217003310 |
Mailing Address | Practice Location Address |
---|---|
800 S Central Ave Ste 206, Glendale, CA 91204-4379 Ph: (818) 240-2233 | 800 S Central Ave Ste 206, Glendale, CA 91204-4379 Ph: (818) 240-2233 |