| Foveo Healthcare A Professional Medical Corporation | |
|
500 E Olive Ave Ste 310 Burbank CA 91501-2171 | |
| (818) 254-9967 | |
| (818) 254-9967 |
| Full Name | Foveo Healthcare A Professional Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 500 E Olive Ave Ste 310, Burbank, California |
| Authorized Official Name and Position | Konstantinos Tripodis (PROVIDER/OWNER) |
| Authorized Official Contact | 8182549967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foveo Healthcare A Professional Medical Corporation 500 E Olive Ave Ste 310 Burbank CA 91501-2171 Ph: (818) 254-9967 | Foveo Healthcare A Professional Medical Corporation 500 E Olive Ave Ste 310 Burbank CA 91501-2171 Ph: (818) 254-9967 |
| NPI Number | 1437856713 |
|---|---|
| Provider Enumeration Date | 02/08/2023 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Medicare PECOS PAC ID | 6709226541 |
|---|---|
| Medicare Enrollment ID | O20240426003238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437856713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Konstantinos Tripodis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588698534 PECOS PAC ID: 1850299553 Enrollment ID: I20031219000292 |
| Provider Name | Mariam Berberian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447638234 PECOS PAC ID: 4385956143 Enrollment ID: I20150708000002 |
| Provider Name | John Berberian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518345180 PECOS PAC ID: 4789997313 Enrollment ID: I20150724011517 |
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