| Noalab Clinic Inc. | |
|
6428 Coldwater Canyon Ave North Hollywood CA 91606-1113 | |
| (818) 308-6440 | |
| (818) 301-2515 |
| Full Name | Noalab Clinic Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6428 Coldwater Canyon Ave, North Hollywood, California |
| Authorized Official Name and Position | Gohar Poghosyan (CFO) |
| Authorized Official Contact | 8186480044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noalab Clinic Inc. 6428 Coldwater Canyon Ave North Hollywood CA 91606-1113 Ph: (818) 308-6440 | Noalab Clinic Inc. 6428 Coldwater Canyon Ave North Hollywood CA 91606-1113 Ph: (818) 308-6440 |
| NPI Number | 1649805508 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 8325424765 |
|---|---|
| Medicare Enrollment ID | O20221007001758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649805508 | NPI | - | NPPES |
| Provider Name | Michio Abe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285669671 PECOS PAC ID: 0749294221 Enrollment ID: I20060203000602 |
| Provider Name | Hovsep G Mahdessian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659544203 PECOS PAC ID: 9133279284 Enrollment ID: I20090610000584 |
| Provider Name | Todd Nathan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861734428 PECOS PAC ID: 1951525831 Enrollment ID: I20140616001525 |
| Provider Name | Ali Anari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912252743 PECOS PAC ID: 0345548780 Enrollment ID: I20160418002010 |
| Provider Name | Hovhannes Kurghinyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043849979 PECOS PAC ID: 4486015914 Enrollment ID: I20230801001427 |
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