| Caspian Medical Clinic, Corp | |
|
14103 Victory Blvd Suite 7 Van Nuys CA 91401-1998 | |
| (818) 994-0000 | |
| (818) 988-2949 |
| Full Name | Caspian Medical Clinic, Corp |
|---|---|
| Speciality | General Practice |
| Location | 14103 Victory Blvd, Van Nuys, California |
| Authorized Official Name and Position | Max Mahmoud Ghannadi (OWNER) |
| Authorized Official Contact | 8189940000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caspian Medical Clinic, Corp 14103 Victory Blvd Suite 7 Van Nuys CA 91401-1998 Ph: (818) 994-0000 | Caspian Medical Clinic, Corp 14103 Victory Blvd Suite 7 Van Nuys CA 91401-1998 Ph: (818) 994-0000 |
| NPI Number | 1275765612 |
|---|---|
| Provider Enumeration Date | 08/19/2009 |
| Last Update Date | 09/23/2010 |
| Medicare PECOS PAC ID | 3072708460 |
|---|---|
| Medicare Enrollment ID | O20101111000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275765612 | NPI | - | NPPES |
| A102618 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A102618 (California) | Primary |
| Provider Name | Max M Ghannadi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114191798 PECOS PAC ID: 8123170248 Enrollment ID: I20090720000535 |
Max M Ghannadi Md Medical Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14103 Victory Blvd, Suite 7, Van Nuys, CA 91401 Phone: 818-994-0000 Fax: 818-988-2949 | |
Philip H. Lee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7136 Haskell Ave Ste 205, Van Nuys, CA 91406 Phone: 818-908-4086 | |
Fmc 26, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14547 Victory Blvd, Van Nuys, CA 91411 Phone: 818-997-3232 Fax: 818-997-7750 | |
Best Choice Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15243 Vanowen St Ste 403, Van Nuys, CA 91405 Phone: 818-836-0608 | |
Midvalley Comprehensive Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7515 Van Nuys Blvd, Van Nuys, CA 91405 Phone: 818-947-4026 | |
Apelian Medical Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14624 Sherman Way, Ste 603, Van Nuys, CA 91405 Phone: 818-781-3110 Fax: 818-781-3862 | |
Ril Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14545 Friar St Unit 113, Van Nuys, CA 91411 Phone: 310-780-8989 Fax: 310-289-8198 |