| Edmund H. Lew, Md, Inc | |
|
1505 Wilson Ter Ste 250 Glendale CA 91206-4075 | |
| (818) 246-7115 | |
| (818) 246-8352 |
| Full Name | Edmund H. Lew, Md, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1505 Wilson Ter Ste 250, Glendale, California |
| Authorized Official Name and Position | Edmund H Lew (OWNER) |
| Authorized Official Contact | 8182467115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmund H. Lew, Md, Inc 1505 Wilson Ter Ste 250 Glendale CA 91206-4075 Ph: (818) 246-7115 | Edmund H. Lew, Md, Inc 1505 Wilson Ter Ste 250 Glendale CA 91206-4075 Ph: (818) 246-7115 |
| NPI Number | 1174026926 |
|---|---|
| Provider Enumeration Date | 03/16/2018 |
| Last Update Date | 03/16/2018 |
| Medicare PECOS PAC ID | 9638421118 |
|---|---|
| Medicare Enrollment ID | O20181010003660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174026926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G55213 (California) | Primary |
| Provider Name | Edmund H Lew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528027836 PECOS PAC ID: 0345321857 Enrollment ID: I20120312000831 |
| Provider Name | Brianne A Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326594219 PECOS PAC ID: 1153604723 Enrollment ID: I20170203002665 |
| Provider Name | Mathew G Lew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356792907 PECOS PAC ID: 2365779162 Enrollment ID: I20190815002499 |
| Provider Name | Ryan Lew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760261218 PECOS PAC ID: 2062864804 Enrollment ID: I20240117003842 |
| Provider Name | Katherine Grace Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033988647 PECOS PAC ID: 5799227740 Enrollment ID: I20240606000851 |
Silva Karchikian, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Arden Ave, Suite 101, Glendale, CA 91203 Phone: 818-549-9305 Fax: 818-662-8812 | |
Glendale Premier Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W Eulalia St, #201, Glendale, CA 91204 Phone: 818-240-0601 Fax: 818-240-0687 | |
Glenoaks Urgent Care Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W Glenoaks Blvd, Glendale, CA 91202 Phone: 818-242-3333 Fax: 818-546-1056 | |
Rubin Manavi, Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 N Central Ave, Glendale, CA 91203 Phone: 818-241-0970 Fax: 818-638-0024 | |
Armen Nercessian Do Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1122 N Brand Blvd Ste 101, Glendale, CA 91202 Phone: 818-552-2011 Fax: 818-552-2012 | |
Synergy Observation Specialists Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1509 Wilson Ter, Glendale, CA 91206 Phone: 818-409-8000 | |
Lev Grinman Md 3 Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 N Brand Blvd Ste 600, Glendale, CA 91203 Phone: 818-369-1170 |