Kia Nikoomanesh, | |
501 S Buena Vista St, Burbank, CA 91505-4809 | |
(818) 843-5864 | |
Not Available |
Full Name | Kia Nikoomanesh |
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Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 501 S Buena Vista St, Burbank, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902260375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 20A16582 (California) | Primary |
207RC0200X | Internal Medicine - Critical Care Medicine | 20A16582 (California) | Secondary |
Entity Name | Quantum Healthcare Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568490597 PECOS PAC ID: 5294647574 Enrollment ID: O20040924000422 |
Entity Name | Clinic Services Of California Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394 |
Mailing Address | Practice Location Address |
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Kia Nikoomanesh, 2625 W Alameda Ave Ste 506, Burbank, CA 91505-4816 Ph: () - | Kia Nikoomanesh, 501 S Buena Vista St, Burbank, CA 91505-4809 Ph: (818) 843-5864 |
Boris Arbit, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2625 W Alameda Ave Ste 322, Burbank, CA 91505 Phone: 818-843-9015 Fax: 818-843-9016 | |
Dr. Daniel Kwan Dea, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2701 W Alameda Ave, Suite 601, Burbank, CA 91505 Phone: 818-846-2766 Fax: 818-556-4170 | |
Dr. Abigail Maller, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2625 W Alameda Ave Ste 322, Burbank, CA 91505 Phone: 818-843-9015 Fax: 818-843-9016 | |
Dr. Mark A Gerard, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 201 S Buena Vista St, Suite # 250, Burbank, CA 91505 Phone: 818-562-3200 Fax: 818-562-3205 | |
Jamileh Hanna, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2550 N Hollywood Way Ste 100, Burbank, CA 91505 Phone: 818-524-3730 Fax: 818-847-8675 | |
Dr. Cecelia Theresa Madrid, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2701 W Alameda Ave Ste 500, Burbank, CA 91505 Phone: 818-567-6550 Fax: 818-558-4379 | |
Grace I Wong, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3808 W Riverside Dr Ste 201, Burbank, CA 91505 Phone: 818-563-1449 Fax: 818-563-1049 |