| All-inclusive Community Health Center | |
|
1311 N San Fernando Blvd Burbank CA 91504-4236 | |
| (818) 843-9900 | |
| (818) 843-9909 |
| Full Name | All-inclusive Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1311 N San Fernando Blvd, Burbank, California |
| Authorized Official Name and Position | Marine Dzhgalyan (CEO) |
| Authorized Official Contact | 8188439900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All-inclusive Community Health Center 1311 N San Fernando Blvd Burbank CA 91504-4236 Ph: (818) 843-9900 | All-inclusive Community Health Center 1311 N San Fernando Blvd Burbank CA 91504-4236 Ph: (818) 843-9900 |
| NPI Number | 1093019051 |
|---|---|
| Provider Enumeration Date | 01/05/2011 |
| Last Update Date | 11/15/2018 |
| Medicare PECOS PAC ID | 5294905006 |
|---|---|
| Medicare Enrollment ID | O20110906000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093019051 | NPI | - | NPPES |
| Provider Name | Siranoush Kevorkian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457416265 PECOS PAC ID: 1052332079 Enrollment ID: I20051216000772 |
| Provider Name | Gor Agababian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063442143 PECOS PAC ID: 4789687351 Enrollment ID: I20060821000504 |
| Provider Name | Bach Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104221167 PECOS PAC ID: 1456664358 Enrollment ID: I20150721003096 |
| Provider Name | Ifeoma Linda Ugochukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336524412 PECOS PAC ID: 6800104399 Enrollment ID: I20151002000868 |
| Provider Name | Lilit L Avetyan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275053423 PECOS PAC ID: 0143584813 Enrollment ID: I20180503002726 |
| Provider Name | Patrick J Bonavitacola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083024012 PECOS PAC ID: 1153679238 Enrollment ID: I20180806002911 |
| Provider Name | Cien Gao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205323136 PECOS PAC ID: 1557796372 Enrollment ID: I20230927000817 |
| Provider Name | Veronica Castellanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326793738 PECOS PAC ID: 0840635306 Enrollment ID: I20240223004110 |
| Provider Name | Susan Dorairaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720592520 PECOS PAC ID: 8628045994 Enrollment ID: I20240224000368 |
| Provider Name | Zara Garry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124669320 PECOS PAC ID: 6800231887 Enrollment ID: I20240229001605 |
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Trinidad Aguilar, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 S Glenoaks Blvd, Suite 4, Burbank, CA 91502 Phone: 818-845-7228 Fax: 818-845-7298 | |
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