| |
17447 Chatsworth Street Granada Hills CA 91344 | |
(818) 923-5702 | |
(818) 923-5703 |
Full Name | |
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Speciality | Internal Medicine |
Location | 17447 Chatsworth Street, Granada Hills, California |
Authorized Official Name and Position | Elaheh Farhadian (CEO) |
Authorized Official Contact | 8189235702 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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17447 Chatsworth Street Granada Hills CA 91344 Ph: (818) 923-5702 | 17447 Chatsworth Street Granada Hills CA 91344 Ph: (818) 923-5702 |
NPI Number | 1922401215 |
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Provider Enumeration Date | 10/01/2014 |
Last Update Date | 01/10/2019 |
Medicare PECOS PAC ID | 3870817026 |
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Medicare Enrollment ID | O20150119000755 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922401215 | NPI | - | NPPES |
A100453 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A100453 (California) | Primary |
Provider Name | Elaheh Farhadian |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316145956 PECOS PAC ID: 8527154582 Enrollment ID: I20071022000748 |
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