| Dba: Pars Medical Clinic | |
|
18445 Vanowen St Reseda CA 91335-5324 | |
| (818) 708-8484 | |
| (818) 881-7451 |
| Full Name | Dba: Pars Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 18445 Vanowen St, Reseda, California |
| Authorized Official Name and Position | Salem Nour Harake (PHYSICIAN/CEO/OWNER) |
| Authorized Official Contact | 8187088484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba: Pars Medical Clinic 18445 Vanowen St Reseda CA 91335-5324 Ph: (818) 708-8484 | Dba: Pars Medical Clinic 18445 Vanowen St Reseda CA 91335-5324 Ph: (818) 708-8484 |
| NPI Number | 1972936755 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 08/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972936755 | NPI | - | NPPES |
| 0586239 | Medicaid | CA | |
| WA80782A | Other | CA | MEDICARE ID |
| 00A807820 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A80782 (California) | Primary |
| 208D00000X | General Practice | A80782 (California) | Secondary |
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