| Cranbelve Medical Group | |
|
9112 Sunland Blvd Sun Valley CA 91352-2052 | |
| (818) 465-8238 | |
| Not Available |
| Full Name | Cranbelve Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 9112 Sunland Blvd, Sun Valley, California |
| Authorized Official Name and Position | Robert Carpio (MANAGING MEMBER) |
| Authorized Official Contact | 8184658238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cranbelve Medical Group 9112 Sunland Blvd Sun Valley CA 91352-2052 Ph: (818) 465-8238 | Cranbelve Medical Group 9112 Sunland Blvd Sun Valley CA 91352-2052 Ph: (818) 465-8238 |
| NPI Number | 1548729007 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 03/14/2019 |
| Medicare PECOS PAC ID | 2062755382 |
|---|---|
| Medicare Enrollment ID | O20190529002638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548729007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Maxine B Ingham |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730294455 PECOS PAC ID: 8325014541 Enrollment ID: I20050316001086 |
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