| Advanced Health Medical Group Inc | |
|
401 S Glenoaks Blvd #101 Burbank CA 91502 | |
| (818) 848-1555 | |
| (818) 842-9323 |
| Full Name | Advanced Health Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 S Glenoaks Blvd, Burbank, California |
| Authorized Official Name and Position | Hakop Gevorkyan (PRESIDENT) |
| Authorized Official Contact | 8188481555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Health Medical Group Inc 401 S Glenoaks Blvd #101 Burbank CA 91502 Ph: (818) 848-1555 | Advanced Health Medical Group Inc 401 S Glenoaks Blvd #101 Burbank CA 91502 Ph: (818) 848-1555 |
| NPI Number | 1972679280 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 09/17/2008 |
| Medicare PECOS PAC ID | 5698713055 |
|---|---|
| Medicare Enrollment ID | O20050418000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972679280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Garo A Terzian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700952090 PECOS PAC ID: 6901844364 Enrollment ID: I20050418000822 |
| Provider Name | Ayuna K Panossian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952423014 PECOS PAC ID: 0547367732 Enrollment ID: I20070523000287 |
| Provider Name | Hakop Gevorkyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073689386 PECOS PAC ID: 5395783757 Enrollment ID: I20110310000687 |
| Provider Name | Robert H Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659447977 PECOS PAC ID: 4486692845 Enrollment ID: I20110427000661 |
| Provider Name | Nelly L Babaloyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518269489 PECOS PAC ID: 3971772930 Enrollment ID: I20151217001038 |
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