| Anvar Medical Group | |
|
9335 Reseda Blvd Ste 100 Northridge CA 91324 | |
| (310) 445-5999 | |
| (310) 445-6622 |
| Full Name | Anvar Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 9335 Reseda Blvd Ste 100, Northridge, California |
| Authorized Official Name and Position | Bardia Anvar (PRESIDENT) |
| Authorized Official Contact | 3104455999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anvar Medical Group 12021 Wilshire Blvd # 745 Los Angeles CA 90025-1206 Ph: (310) 445-5999 | Anvar Medical Group 9335 Reseda Blvd Ste 100 Northridge CA 91324 Ph: (310) 445-5999 |
| NPI Number | 1831539485 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 06/22/2018 |
| Medicare PECOS PAC ID | 4284875451 |
|---|---|
| Medicare Enrollment ID | O20130731000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831539485 | NPI | - | NPPES |
| Provider Name | Bardia Aaron Anvar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679516314 PECOS PAC ID: 0941392443 Enrollment ID: I20081213000023 |
| Provider Name | Surinder Puri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477689651 PECOS PAC ID: 4981756780 Enrollment ID: I20090708000532 |
| Provider Name | Oluwole Fajolu |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376602953 PECOS PAC ID: 4082800784 Enrollment ID: I20101119000967 |
| Provider Name | Justin Young |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033370945 PECOS PAC ID: 8628201506 Enrollment ID: I20140429002193 |
| Provider Name | Daniel Eshaghian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497015085 PECOS PAC ID: 2961701339 Enrollment ID: I20160506000633 |
| Provider Name | Aldo David Espinoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336707496 PECOS PAC ID: 2365877537 Enrollment ID: I20200115003083 |
| Provider Name | Ma Loise Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861931289 PECOS PAC ID: 1759658479 Enrollment ID: I20201022003569 |
| Provider Name | Hilda A Fujimoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881212066 PECOS PAC ID: 8123431616 Enrollment ID: I20201229003076 |
| Provider Name | Karapet Mirakyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194318014 PECOS PAC ID: 5294134847 Enrollment ID: I20210601002604 |
| Provider Name | Mikey Thanteraphong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437795333 PECOS PAC ID: 6507137684 Enrollment ID: I20211027002125 |
| Provider Name | Thirat Chakavanmongkol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265188221 PECOS PAC ID: 1153796164 Enrollment ID: I20230405000578 |
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