| California Mobile Medical Group Inc | |
|
130 N Brand Blvd Ste 208 Glendale CA 91203-2627 | |
| (818) 945-6003 | |
| (818) 945-6075 |
| Full Name | California Mobile Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 130 N Brand Blvd Ste 208, Glendale, California |
| Authorized Official Name and Position | Emil Golub (CFO) |
| Authorized Official Contact | 8189456003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Mobile Medical Group Inc 130 N Brand Blvd Ste 208 Glendale CA 91203-2627 Ph: (818) 945-6003 | California Mobile Medical Group Inc 130 N Brand Blvd Ste 208 Glendale CA 91203-2627 Ph: (818) 945-6003 |
| NPI Number | 1588439061 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 11/15/2023 |
| Medicare PECOS PAC ID | 7719330091 |
|---|---|
| Medicare Enrollment ID | O20240202001837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588439061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sarah G Apollo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730114372 PECOS PAC ID: 5890682702 Enrollment ID: I20040303001072 |
| Provider Name | Daisy I Bautista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306856992 PECOS PAC ID: 7416998711 Enrollment ID: I20050517000823 |
| Provider Name | Linda B Enriquez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669541041 PECOS PAC ID: 3173798832 Enrollment ID: I20111207000403 |
| Provider Name | Analiza Farahbakhsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780229674 PECOS PAC ID: 5799113775 Enrollment ID: I20200325002950 |
| Provider Name | Da Som Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407484058 PECOS PAC ID: 5294153730 Enrollment ID: I20210121002728 |
| Provider Name | Amanda Spino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750939526 PECOS PAC ID: 0547679714 Enrollment ID: I20210429002840 |
| Provider Name | Natalya Grigoryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811485394 PECOS PAC ID: 8426447731 Enrollment ID: I20211108001078 |
| Provider Name | Samuel F Broders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245737188 PECOS PAC ID: 2567863897 Enrollment ID: I20221219002528 |
| Provider Name | Majarlika L Junio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932835063 PECOS PAC ID: 3678917481 Enrollment ID: I20240220004456 |
Silva Karchikian, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Arden Ave, Suite 101, Glendale, CA 91203 Phone: 818-549-9305 Fax: 818-662-8812 | |
Glendale Premier Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W Eulalia St, #201, Glendale, CA 91204 Phone: 818-240-0601 Fax: 818-240-0687 | |
Glenoaks Urgent Care Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W Glenoaks Blvd, Glendale, CA 91202 Phone: 818-242-3333 Fax: 818-546-1056 | |
Rubin Manavi, Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 N Central Ave, Glendale, CA 91203 Phone: 818-241-0970 Fax: 818-638-0024 | |
Armen Nercessian Do Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1122 N Brand Blvd Ste 101, Glendale, CA 91202 Phone: 818-552-2011 Fax: 818-552-2012 | |
Synergy Observation Specialists Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1509 Wilson Ter, Glendale, CA 91206 Phone: 818-409-8000 | |
Lev Grinman Md 3 Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 N Brand Blvd Ste 600, Glendale, CA 91203 Phone: 818-369-1170 |