Aviisha Medical Corporation is a
Internal Medicine based in Thousand Oaks, California. Aviisha Medical Corporation is licensed to practice in California (license number G71854) and their current practice location is
415 Rolling Oaks Dr, Suite 210, Thousand Oaks, California. It can be reached at their office (for appointments etc.) via phone at
(323) 857-1682.
NPI number for Aviisha Medical Corporation is 1477780229 and their current mailing address is 5901 W Olympic Blvd, Suite 200, Los Angeles, California. Aviisha Medical Corporation
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1477780229.
Healthcare Provider's Profile
| Full Name | Aviisha Medical Corporation |
|---|
| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 415 Rolling Oaks Dr, Thousand Oaks, 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: 1477780229
- Provider Enumeration Date: 06/19/2009
- Last Update Date: 06/23/2009
Medical Identifiers
Medical identifiers for Aviisha Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477780229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 859439 (California) | Secondary |
| 207R00000X | Internal Medicine | G71854 (California) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | G71854 (California) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | G71854 (California) | Secondary |
| 291U00000X | Clinical Medical Laboratory | G71854 (California) | Secondary |
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. Aviisha Medical Corporation 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 |
|---|
Aviisha Medical Corporation
5901 W Olympic Blvd, Suite 200,
Los Angeles, CA 90036-4667
Ph: (323) 954-1788 | Aviisha Medical Corporation
415 Rolling Oaks Dr, Suite 210,
Thousand Oaks, CA 91361-1029
Ph: (323) 857-1682 |
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