Riverside Optimal Healthcare , Inc | |
1411 W Olive Ave Ste D Burbank CA 91506-2400 | |
(818) 821-3535 | |
(818) 821-3536 |
Full Name | Riverside Optimal Healthcare , Inc |
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Speciality | Psychiatry & Neurology |
Location | 1411 W Olive Ave Ste D, Burbank, California |
Authorized Official Name and Position | Sheila Manhas (MEDICAL DIRECTOR) |
Authorized Official Contact | 8188213535 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Riverside Optimal Healthcare , Inc 1411 W Olive Ave Ste D Burbank CA 91506-2400 Ph: (818) 821-3535 | Riverside Optimal Healthcare , Inc 1411 W Olive Ave Ste D Burbank CA 91506-2400 Ph: (818) 821-3535 |
NPI Number | 1497352876 |
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Provider Enumeration Date | 10/08/2020 |
Last Update Date | 04/30/2024 |
Certification Date | 04/30/2024 |
Medicare PECOS PAC ID | 6800207853 |
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Medicare Enrollment ID | O20201123001087 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497352876 | NPI | - | NPPES |
A88659 | Other | CA | MEDICAL BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Sheila Kaur Manhas |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1174584965 PECOS PAC ID: 1052330495 Enrollment ID: I20051115000942 |
Provider Name | Jenine Rahman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114613403 PECOS PAC ID: 2860849239 Enrollment ID: I20231106003650 |
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