| Advanced Holistic Healthcare Inc. | |
|
4139 Verdugo Rd Los Angeles CA 90065-3820 | |
| (323) 258-2256 | |
| (234) 746-6223 |
| Full Name | Advanced Holistic Healthcare Inc. |
|---|---|
| Speciality | General Practice |
| Location | 4139 Verdugo Rd, Los Angeles, California |
| Authorized Official Name and Position | Steven Rosenblatt (PRESIDENT) |
| Authorized Official Contact | 3233449255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Holistic Healthcare Inc. 4139 Verdugo Rd Los Angeles CA 90065-3820 Ph: (323) 258-2256 | Advanced Holistic Healthcare Inc. 4139 Verdugo Rd Los Angeles CA 90065-3820 Ph: (323) 258-2256 |
| NPI Number | 1184959793 |
|---|---|
| Provider Enumeration Date | 10/15/2009 |
| Last Update Date | 04/15/2020 |
| Medicare PECOS PAC ID | 2567501307 |
|---|---|
| Medicare Enrollment ID | O20131211001477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184959793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Khanh Ngoc Tuan Duong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295754125 PECOS PAC ID: 8527959436 Enrollment ID: I20040322000912 |
| Provider Name | Robert T Hatanaka |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487621801 PECOS PAC ID: 5496703050 Enrollment ID: I20050110001200 |
| Provider Name | Hind Bennani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073702213 PECOS PAC ID: 0941381875 Enrollment ID: I20080117000249 |
| Provider Name | Steven L Rosenblatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134142201 PECOS PAC ID: 3072596642 Enrollment ID: I20091223000141 |
| Provider Name | Candace Buckley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558795757 PECOS PAC ID: 8325262264 Enrollment ID: I20140614000071 |
| Provider Name | Nick T Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992977649 PECOS PAC ID: 3072841832 Enrollment ID: I20190819001791 |
| Provider Name | Satenik Melkumyan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013470681 PECOS PAC ID: 5799107744 Enrollment ID: I20200619000549 |
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