| Cedars Primary Care Apmc | |
|
18370 Burbank Blvd Ste 201 Tarzana CA 91356-2853 | |
| (818) 784-1061 | |
| Not Available |
| Full Name | Cedars Primary Care Apmc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18370 Burbank Blvd Ste 201, Tarzana, California |
| Authorized Official Name and Position | Jonathan Raiman (CEO) |
| Authorized Official Contact | 3109991866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedars Primary Care Apmc Po Box 262030 Encino CA 91426-2030 Ph: (310) 999-1866 | Cedars Primary Care Apmc 18370 Burbank Blvd Ste 201 Tarzana CA 91356-2853 Ph: (818) 784-1061 |
| NPI Number | 1396115853 |
|---|---|
| Provider Enumeration Date | 09/28/2015 |
| Last Update Date | 02/10/2016 |
| Medicare PECOS PAC ID | 6204134406 |
|---|---|
| Medicare Enrollment ID | O20160420001770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396115853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | A127747 (California) | Primary |
| Provider Name | Shahryar T Yadegar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174546493 PECOS PAC ID: 2961453774 Enrollment ID: I20050210000936 |
| Provider Name | Daniel Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801170519 PECOS PAC ID: 2062633548 Enrollment ID: I20141027001188 |
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