Tedmur Qozi-habash, MD | |
14901 Rinaldi St, Suite 200, Mission Hills, CA 91345-1204 | |
(818) 365-8553 | |
(818) 365-4524 |
Full Name | Tedmur Qozi-habash |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 23 Years |
Location | 14901 Rinaldi St, Mission Hills, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710978135 | NPI | - | NPPES |
00A910260 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A91026 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeside Medical Organization A Medical Group Inc | 7618005166 | 64 |
Entity Name | Lakeside Medical Organization A Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
Mailing Address | Practice Location Address |
---|---|
Tedmur Qozi-habash, MD 777 Flower St, Suite A, Glendale, CA 91201-3015 Ph: (818) 637-2000 | Tedmur Qozi-habash, MD 14901 Rinaldi St, Suite 200, Mission Hills, CA 91345-1204 Ph: (818) 365-8553 |
Archana Kulai, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11600 Indian Hills Rd, Mission Hills, CA 91345 Phone: 818-838-4590 | |
Alessandro A Avila, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-869-7267 | |
Khoa Dang Nguyen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 | |
Dr. Harold Eugene Shakespeare, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14901 Rinaldi St, Ste 200, Mission Hills, CA 91345 Phone: 818-365-8553 Fax: 818-365-4524 | |
Dr. Karin Yepremian Butcher, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 11600 Indian Hills Rd, Mission Hills, CA 91345 Phone: 818-838-4500 | |
Dr. Shashank Sharma, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-869-7200 | |
Dr. Assaf K Fesseha, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-869-7200 Fax: 310-456-8838 |