Jano Boghossian, | |
11301 Wilshire Blvd Bldg 500, Los Angeles, CA 90073-1003 | |
(310) 478-3711 | |
Not Available |
Full Name | Jano Boghossian |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 6 Years |
Location | 11301 Wilshire Blvd Bldg 500, Los Angeles, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881189231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | EL6873 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Glendale Adventist Medical Center | Glendale, CA | Hospital |
White Memorial Medical Center | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gabriel J Halperin D P M Inc | 2163411075 | 6 |
Provider Name | Gabriel J Halperin D P M Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619194446 PECOS PAC ID: 2163411075 Enrollment ID: O20040506001654 |
Mailing Address | Practice Location Address |
---|---|
Jano Boghossian, 11301 Wilshire Blvd Bldg 500, Los Angeles, CA 90073-1003 Ph: () - | Jano Boghossian, 11301 Wilshire Blvd Bldg 500, Los Angeles, CA 90073-1003 Ph: (310) 478-3711 |
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