| Daniel Ahoubim, Md Pc | |
|
18370 Burbank Blvd Ste 414 Tarzana CA 91356 | |
| (818) 877-7715 | |
| (818) 877-7716 |
| Full Name | Daniel Ahoubim, Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 18370 Burbank Blvd Ste 414, Tarzana, California |
| Authorized Official Name and Position | Daniel Ahoubim (OWNER) |
| Authorized Official Contact | 6463345810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Ahoubim, Md Pc Po Box 25082 Los Angeles CA 90025-0082 Ph: (646) 334-5810 | Daniel Ahoubim, Md Pc 18370 Burbank Blvd Ste 414 Tarzana CA 91356 Ph: (818) 877-7715 |
| NPI Number | 1922570589 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 09/04/2019 |
| Medicare PECOS PAC ID | 7416296751 |
|---|---|
| Medicare Enrollment ID | O20190304000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922570589 | NPI | - | NPPES |
| A144380 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Daniel Ahoubim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740415686 PECOS PAC ID: 0345480406 Enrollment ID: I20170207002813 |
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