| Dr. J. Michail Inc. | |
|
10515 Balboa Blvd Ste 290 Granada Hills CA 91344-6362 | |
| (818) 831-8999 | |
| (818) 831-8990 |
| Full Name | Dr. J. Michail Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 10515 Balboa Blvd Ste 290, Granada Hills, California |
| Authorized Official Name and Position | James Michail (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8187871049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. J. Michail Inc. 14860 Roscoe Blvd Panorama City CA 91402-4665 Ph: (818) 787-1049 | Dr. J. Michail Inc. 10515 Balboa Blvd Ste 290 Granada Hills CA 91344-6362 Ph: (818) 831-8999 |
| NPI Number | 1457859407 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 06/17/2020 |
| Medicare PECOS PAC ID | 0941539597 |
|---|---|
| Medicare Enrollment ID | O20190909000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457859407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | A142997 (California) | Primary |
| Provider Name | James Anthony Michail |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1760879217 PECOS PAC ID: 9436415882 Enrollment ID: I20171117001571 |
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