| Alan Darush, M.d., A Professional Corporation | |
|
8540 Reseda Blvd # 103 Northridge CA 91324-4628 | |
| (818) 280-0700 | |
| Not Available |
| Full Name | Alan Darush, M.d., A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 8540 Reseda Blvd # 103, Northridge, California |
| Authorized Official Name and Position | Alan Darush (OWNER) |
| Authorized Official Contact | 8182800700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Darush, M.d., A Professional Corporation Po Box 77790 Corona CA 92877-0126 Ph: (800) 624-2468 | Alan Darush, M.d., A Professional Corporation 8540 Reseda Blvd # 103 Northridge CA 91324-4628 Ph: (818) 280-0700 |
| NPI Number | 1669501409 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 12/11/2014 |
| Medicare PECOS PAC ID | 0244390649 |
|---|---|
| Medicare Enrollment ID | O20081114000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669501409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A84425 (California) | Primary |
| Provider Name | Alan Darush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649246794 PECOS PAC ID: 2466410535 Enrollment ID: I20041221000982 |
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