Atc Health Services Inc. | |
1925 Royal Ave Ste B Simi Valley CA 93065-4619 | |
(805) 501-5715 | |
(818) 794-6036 |
Full Name | Atc Health Services Inc. |
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Speciality | Family Medicine |
Location | 1925 Royal Ave Ste B, Simi Valley, California |
Authorized Official Name and Position | Archana Thukral (ADMINISTRATOR) |
Authorized Official Contact | 8055015715 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Atc Health Services Inc. 1925 Royal Ave Ste B Simi Valley CA 93065-4619 Ph: (805) 501-5715 | Atc Health Services Inc. 1925 Royal Ave Ste B Simi Valley CA 93065-4619 Ph: (805) 501-5715 |
NPI Number | 1700439817 |
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Provider Enumeration Date | 07/17/2019 |
Last Update Date | 07/17/2019 |
Medicare PECOS PAC ID | 6800125337 |
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Medicare Enrollment ID | O20190910000360 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700439817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mariam Hasan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851604847 PECOS PAC ID: 7517109127 Enrollment ID: I20130812000306 |
Provider Name | Benjamin J Tehrani |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1285993451 PECOS PAC ID: 4587979802 Enrollment ID: I20160711001509 |
Provider Name | Belinda G Rouse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194277467 PECOS PAC ID: 6406139336 Enrollment ID: I20170220002184 |
Provider Name | Lovelle C Valencia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306384987 PECOS PAC ID: 7618234907 Enrollment ID: I20171121001828 |
Provider Name | Felicia Latonya Hunt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245769298 PECOS PAC ID: 0749548378 Enrollment ID: I20180103000313 |
Provider Name | Zaydee Anne P Mercado |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972014769 PECOS PAC ID: 1355602566 Enrollment ID: I20180305001811 |
Provider Name | Aristotle E Santos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932659695 PECOS PAC ID: 7618227018 Enrollment ID: I20190405001412 |
Provider Name | Han Nguyen |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1063918845 PECOS PAC ID: 7113253956 Enrollment ID: I20190731002514 |
Provider Name | Andreas T Subadya |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528148350 PECOS PAC ID: 5193768083 Enrollment ID: I20190910000419 |
Provider Name | John E Singidas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760020408 PECOS PAC ID: 9234565854 Enrollment ID: I20200130000777 |
Provider Name | Kavitha Narayanan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487128344 PECOS PAC ID: 3072949130 Enrollment ID: I20200207002380 |
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