| Asana Integrated Medical Group Pc | |
|
6200 Canoga Ave Ste 108 Woodland Hills CA 91367-7793 | |
| (818) 532-1297 | |
| (818) 880-0430 |
| Full Name | Asana Integrated Medical Group Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6200 Canoga Ave Ste 108, Woodland Hills, California |
| Authorized Official Name and Position | Cynthia Horner (PRESIDENT) |
| Authorized Official Contact | 6172043500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asana Integrated Medical Group Pc Po Box 411109 Boston MA 02241-1109 Ph: (818) 532-1297 | Asana Integrated Medical Group Pc 6200 Canoga Ave Ste 108 Woodland Hills CA 91367-7793 Ph: (818) 532-1297 |
| NPI Number | 1396783379 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 05/26/2022 |
| Certification Date | 05/26/2022 |
| Medicare PECOS PAC ID | 0042124778 |
|---|---|
| Medicare Enrollment ID | O20031117000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396783379 | NPI | - | NPPES |
| DA5859 | Other | CA | RAILROAD MEDICARE GROUP I |
| Provider Name | Marina Katz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366498446 PECOS PAC ID: 3274587225 Enrollment ID: I20050311000591 |
| Provider Name | Robert C Krueger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174606255 PECOS PAC ID: 7911953484 Enrollment ID: I20050328000813 |
| Provider Name | Dharmapalan V Pillai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518034545 PECOS PAC ID: 6507955465 Enrollment ID: I20071130000295 |
| Provider Name | Tapeesh Kansal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841291408 PECOS PAC ID: 7113816455 Enrollment ID: I20090130000534 |
| Provider Name | Vijay Kumar N Chennamchetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811194145 PECOS PAC ID: 6800946278 Enrollment ID: I20090604000507 |
| Provider Name | Catalina Villa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255563268 PECOS PAC ID: 2860538691 Enrollment ID: I20091008000616 |
| Provider Name | Ricardo J Whyte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124215710 PECOS PAC ID: 2567509862 Enrollment ID: I20091019000494 |
| Provider Name | Christopher Sangdahl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700838109 PECOS PAC ID: 8325187800 Enrollment ID: I20091121000058 |
| Provider Name | Kalpesh B Bhavsar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457546913 PECOS PAC ID: 3678698321 Enrollment ID: I20100917000630 |
| Provider Name | Harbans S Multani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831175033 PECOS PAC ID: 3577590488 Enrollment ID: I20110706000181 |
| Provider Name | Samer M Kamal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649458977 PECOS PAC ID: 0547403438 Enrollment ID: I20130824000030 |
| Provider Name | Tokunbo L Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033422274 PECOS PAC ID: 3173763661 Enrollment ID: I20150105001897 |
| Provider Name | Vladimir K Khalafian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164718367 PECOS PAC ID: 9830413590 Enrollment ID: I20150129000018 |
| Provider Name | Qyana K Griffith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255674495 PECOS PAC ID: 4183935984 Enrollment ID: I20150619002305 |
| Provider Name | Darcy K Trenkle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114217619 PECOS PAC ID: 9638484769 Enrollment ID: I20150818004996 |
| Provider Name | Katia Sirel Stoletniy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366701401 PECOS PAC ID: 1557656543 Enrollment ID: I20160830002157 |
| Provider Name | Yehonatan Borenstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386063089 PECOS PAC ID: 2769762178 Enrollment ID: I20161130002381 |
| Provider Name | Michael M Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164833018 PECOS PAC ID: 3274812276 Enrollment ID: I20170508002561 |
| Provider Name | Debbie Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508212499 PECOS PAC ID: 4880955863 Enrollment ID: I20180308001444 |
| Provider Name | Eric Bossi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467729806 PECOS PAC ID: 2365747367 Enrollment ID: I20180424002707 |
| Provider Name | Wojciech Zolcik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417060427 PECOS PAC ID: 2365422003 Enrollment ID: I20181119001359 |
| Provider Name | Diana Havill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003053307 PECOS PAC ID: 9436309002 Enrollment ID: I20200228002180 |
| Provider Name | Sameer Mohammed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467591693 PECOS PAC ID: 8527165125 Enrollment ID: I20200512001061 |
| Provider Name | Michole Deesing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366806630 PECOS PAC ID: 2062704067 Enrollment ID: I20200512001384 |
| Provider Name | Royce Molick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679936496 PECOS PAC ID: 0244657971 Enrollment ID: I20211029000788 |
| Provider Name | Monique Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407382773 PECOS PAC ID: 9335533371 Enrollment ID: I20220920000325 |
| Provider Name | Donghui Wei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487159927 PECOS PAC ID: 7911338819 Enrollment ID: I20221228000739 |
| Provider Name | Kathleen Kai-lee Hua |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871957829 PECOS PAC ID: 4587900949 Enrollment ID: I20230426002768 |
| Provider Name | Amina Iheoma Sutherland-stolting |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982068029 PECOS PAC ID: 9830520451 Enrollment ID: I20230516001407 |
| Provider Name | Jagannath Nayak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548764863 PECOS PAC ID: 9234590696 Enrollment ID: I20230801003086 |
| Provider Name | Osmond Waheed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417303207 PECOS PAC ID: 1052746005 Enrollment ID: I20230822003954 |
| Provider Name | Suchet Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275840878 PECOS PAC ID: 4688051063 Enrollment ID: I20230919000606 |
| Provider Name | Tiffany White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053846139 PECOS PAC ID: 4486087301 Enrollment ID: I20240521001140 |
| Provider Name | Ryan Coram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194285429 PECOS PAC ID: 9032567078 Enrollment ID: I20240523004191 |
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